Individual provider
DR. CHESTER WAYNE BULLOCK JR., PSYD, MED
CMS NPPES lists DR. CHESTER WAYNE BULLOCK JR. as an individual provider record with NPI 1003043696. The current record reports a primary practice location in WASHINGTON, DC and primary taxonomy code 103T00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location910 17TH ST NW STE 419WASHINGTON, DC 200062605
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
103T00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- June 22, 2009
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.