Travis Bullock, MD

Individual Active
NPI 1699810507
Urology Physician Saint Louis, MO

NPI 1699810507 belongs to Travis Bullock, MD, an urology physician with a practice location in Saint Louis, MO. The NPI was issued on February 20, 2007, and the record was last updated in NPPES on August 18, 2025. The record lists 2 taxonomy codes. 2 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X 036119508 (IL)
Urology Physician 208800000X 2007030776 (MO)

Practice locations

12855 N 40 Dr Ste 350
Saint Louis, MO 63141-8669
Phone: (314) 567-6071
111 Saint Lukes Center Dr Ste 40
Chesterfield, MO 63017-3509
Phone: (314) 567-6071
6812 State Route 162 Ste 200
Maryville, IL 62062-8562
Phone: (618) 288-0900

Local context

Active NPPES records list 149 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 53 of them within 10 miles.

The same primary taxonomy is listed by 318 in Missouri and 19,306 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Travis L Bullock
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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