GABRIELLE E. BULLEMAN PA-C – NPI #1629952411
Pediatrics

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.

GABRIELLE BULLEMAN is a physician located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1629952411 to GABRIELLE BULLEMAN on August 04, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on May 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GABRIELLE BULLEMAN below.

NPI Profile for
GABRIELLE E. BULLEMAN

NPI Number
1629952411
Enumeration Date

(about 10 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GABRIELLE E. BULLEMAN
Credentials
PA-C
Primary location
8120 ROURK ST
MYRTLE BEACH, SC 29572-4127
Phone: (843) 449-1438 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
SC 5955

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.