Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417004359 Individual Practitioner Male Practitioner

Dr. Tully T. Blalock , MD

Internal Medicine • Rockledge, FL

Professional Overview & Biography Verified Profile Summary

Dr. Tully Blalock, MD is a registered healthcare professional specializing in Internal Medicine in Rockledge, FL. Practice services are available at 220 BARTON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

220 Barton Blvd
Unit C14

Rockledge, FL 329552742

Telephone 3216395177
Fax 3216394927
Associated Practice Facility / Clinic
🏢 Brevard Health Alliance Inc Facility NPI 1134276074

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Rockledge, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.9 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Rockledge, FL (10650 Statewide)

Telehealth Adoption Rate
31.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME26001

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
002048700 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Alison Singer , APRN

Nurse Practitioner - Pediatrics

NPI 1023138997

Advanced Practice Registered Nurse

Dr. Laura Mendoza , DO

Family Medicine

NPI 1043567639

Doctor of Osteopathic Medicine (D.O.)

NPI 1104452655

Registered Pharmacist

Avril Asson , ARNP

Nurse Practitioner - Family

NPI 1184964132

Advanced Registered Nurse Practitioner

NPI 1265785604

Doctor of Psychology (Psy.D.)

Dr. Hagen Hastings , DMD

Dentist - General Practice

NPI 1306157706

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2011

Registered at 220 BARTON BLVD, UNIT C14, ROCKLEDGE, FL 329552742 (Tel: 3216395177)

📍
Updated Business Mailing Address September 12, 2011

Registered at PO BOX 1137, MELBOURNE, FL 329021137 (Tel: 3219529696)

👤
Provider Name / Credentials Updated September 12, 2011

Recorded as TULLY BLALOCK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Internal Medicine (License #ME26001 in FL)

🟢
Initial NPI Registration & Enumeration January 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417004359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2007
Last Update: September 12, 2011
Sole Proprietor: No

Mailing Address

Po Box 1137

Melbourne, FL 329021137

Phone: 3219529696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.