Scott Bulloch
NPI 1114720588ActiveIndividual· Internal Medicine· Jackson, MS
Internal Medicine in Jackson, Mississippi, licensed in MS, with an NPI issued in March 2025. Enrolled in Medicare as order and referring only - internal medicine.
Overview
| NPI | 1114720588 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 31, 2025 |
| Last updated in NPPES | Jul 9, 2025 |
| Certified by provider | Jul 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | T-5843 | MS |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Internal Medicine (MS) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Jackson
- 1710693619
- 1821864174
- 1396806857
- 1699726836
- 1124436977
- 1154876290
- 1770324659
- 1003671793
- 1669917068
- 1942217120
- 1942413216
- 1013171198