Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW WAYNE BULLOCK, D.O.
Active Sole ProprietorDR. MATTHEW WAYNE BULLOCK, D.O. is a Sports Medicine (Orthopaedic) healthcare provider located in HUNTINGTON, West Virginia. NPI 1316171580 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · HUNTINGTON, WV
Registration Details
- NPI Number
- 1316171580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2009 (17.263124710678 yrs)
- Last Updated
- Apr 23, 2025
- Licenses
-
2014-00364 (NC)3280 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 MEDICAL CENTER DR STE G500HUNTINGTON, WV, 257013659Browse WV providers · Browse ZIP 25701
- Phone
- 3046911262
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.