Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730471293 Individual Practitioner Female Practitioner

Dr. Danielle Renee Bullock , MD

Pediatrics • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Danielle Bullock, MD is a registered healthcare professional specializing in Pediatrics in Minneapolis, MN. Practice services are available at 2450 RIVERSIDE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2450 Riverside Ave
M663 East Building

Minneapolis, MN 554541450

Telephone 6126264598
Fax 6126266905
Associated Practice Facility / Clinic
🏢 Fairview Health Services Facility NPI 1013994359

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
277 Specialists

Practicing in Minneapolis, MN (1325 Statewide)

Telehealth Adoption Rate
0.7% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 57986

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Mona Riskalla , MD

Pediatrics - Pediatric Rheumatology

NPI 1710068978

Doctor of Medicine (M.D.)

Dr. Shawn Mahmud , MD, PhD

Pediatrics - Pediatric Rheumatology

NPI 1770937518

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Emily Hause

Pediatrics - Pediatric Rheumatology

NPI 1811429871
Colleen Correll

Pediatrics - Pediatric Rheumatology

NPI 1912170580
Dr. Bryce Binstadt , MD, PhD

Pediatrics - Pediatric Rheumatology

NPI 1942244686

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Patricia Hobday , MD

Pediatrics - Pediatric Rheumatology

NPI 1962655308

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2017

Registered at 2450 RIVERSIDE AVE, M663 EAST BUILDING, MINNEAPOLIS, MN 554541450 (Tel: 6126264598)

📍
Updated Business Mailing Address July 05, 2017

Registered at 2450 RIVERSIDE AVE, M663 EAST BUILDING, MINNEAPOLIS, MN 554541450 (Tel: 6126264598)

👤
Provider Name / Credentials Updated July 05, 2017

Recorded as DANIELLE BULLOCK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Pediatrics (License #57986 in MN)

NPI Profile Active January 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2016

Registered at 2450 RIVERSIDE AVE, M663 EAST BUILDING, MINNEAPOLIS, MN 554541450 (Tel: 6126264598)

📍
Updated Business Mailing Address January 19, 2016

Registered at 2450 RIVERSIDE AVE, M663 EAST BUILDING, MINNEAPOLIS, MN 554541450 (Tel: 6126264598)

👤
Provider Name / Credentials Updated January 19, 2016

Recorded as DANIELLE BULLOCK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 03, 2011

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: 1730471293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2011
Last Update: July 05, 2017
Sole Proprietor: Yes

Mailing Address

2450 Riverside Ave, M663 East Building

Minneapolis, MN 554541450

Phone: 6126264598

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.