Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Gina M Bullock, DPM

Foot & Ankle Surgery Podiatrist in Portland, OR · enumerated 2006 · practices at Broadway Foot & Ankle Clinic, PC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255440020

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Gina M Bullock

Credential DPM

Sex Female

Practice address 3508 Ne Broadway St, Portland, OR, 97232

Phone (503) 282-8777

Fax (503) 282-8853

Enumeration date Aug 29, 2006

Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License DP00244 (OR) Primary

DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

Other identifiers

Identifier	Type	State	Issuer
083431	Medicaid	OR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Gina Bullock?

Gina Bullock is registered in NPPES with the primary taxonomy of Foot & Ankle Surgery Podiatrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Broadway Foot & Ankle Clinic, PC Foot & Ankle Surgery Podiatrist · Portland, OR NPI 1457498438

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.