NPI 1497216816 · live from the CMS NPI Registry
Landon Rae Bulloch, M.D.
Orthopaedic Surgery in Charlotte, NC. National Provider Identifier 1497216816, active.
NPI record
| NPI | 1497216816 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1025 Morehead Medical Dr Ste 300, Charlotte, NC 28204 |
| Practice phone | 704-446-2772 |
| Mailing address | 823 S Church St Apt 1439, Greenville, SC 29601 |
| Enumerated | March 28, 2019 |
| Last updated | November 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | H0071 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.