Family Medicine
Dr. KELLY BULLOCK D.O.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1407941057 · enumerated 2006-10-03 · record updated 2022-02-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1415 CHAROLAIS DRIVE, NORFOLK, NE, 68701 (402) 379-1997 Google Maps Apple Maps OpenStreetMap
- Practice location 106 E WAYNE ST, RANDOLPH, NE, 68771-5300 (402) 337-0200 Fax (402) 337-1020 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 461 NE
In this directory
Locations and evidence
-
Practice location
RANDOLPH, NE, 687715300
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.