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NPI · 1417004359 · NPPES-sourced

Tully Blalock MD

ActiveInternal Medicine
NPI Number
1417004359
Type 1 · Individual
Taxonomy Code
207R00000X
Contact
(321) 639-5177
License FL · ME26001
Last Updated
Enumerated
Primary practice addressFL · 32955-2742
220 Barton Blvd, Unit C14Rockledge, FL 32955-2742
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About this NPIWhat this record shows.

NPI 1417004359 is registered to Tully Blalock MD, a Internal Medicine practising at 220 Barton Blvd, Unit C14 in Rockledge, Florida. Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties. Tully Blalock MD has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Tully Blalock MD accepts. To confirm in-network status with your specific health plan, contact Tully Blalock MD directly at (321) 639-5177.

Frequently asked

Yes. NPI 1417004359 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (321) 639-5177.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Tully Blalock MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207R00000X
Last updated
Enumerated
StatusActive
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