{"npi":"1376863902","type":"NPI-1","status":"active","name":{"display":"Dr. Melissa Bullock D.O.","other":[{"code":"1","type":"Formerly known as","value":"MCLEAN, MELISSA CARRIE"}],"first":"MELISSA","last":"BULLOCK","middle":"MCLEAN","credential":"D.O."},"specialty":{"primary_taxonomy":"207RH0002X","primary_taxonomy_description":"Hospice and Palliative Medicine (Internal Medicine) Physician","slug":"hospice-and-palliative-medicine-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"207RH0002X","description":"Hospice and Palliative Medicine (Internal Medicine) Physician","primary":false,"state":"NC","license":"2014-02005"},{"code":"207RH0002X","description":"Hospice and Palliative Medicine (Internal Medicine) Physician","primary":true,"state":"WV","license":"3283"}]},"addresses":[{"purpose":"LOCATION","street_1":"1340 HAL GREER BLVD","city":"HUNTINGTON","state":"WV","postal_code":"257013804","country_code":"US","phone":"3043996727","fax":"3043996726"},{"purpose":"MAILING","street_1":"1340 HAL GREER BLVD","city":"HUNTINGTON","state":"WV","postal_code":"257013804","country_code":"US","phone":"3043996727","fax":"3043996726"}],"license":{"state":"WV","number":"3283"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0273518","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"1376863902","state":"WV","issuer":null},{"type_code":"05","label":"Medicaid","value":"7100562030","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150121001859","type_code":"14-17","type_desc":"PRACTITIONER - HOSPICE/PALLIATIVE CARE","state":"NC","pac_id":"6901120948"},{"enrlmt_id":"I20180718003047","type_code":"14-17","type_desc":"PRACTITIONER - HOSPICE/PALLIATIVE CARE","state":"WV","pac_id":"6901120948"}]},"enumeration_date":"2010-06-05","last_updated":"2025-09-09","_meta":{"source":"NPPES","snapshot_date":"2025-09-09","doc_url":"https://findmynpi.com/api"}}