OrganizationActive
Bull St. District Family Practice LLC
NPI 1265232326 · Adult Medicine Physician · Columbia, SC
Provider details
- NPI number
- 1265232326
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cornell Clark, Managing Director(702) 904-4077
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1417 Gregg St
Columbia, SC 29201-3527
Phone: (803) 915-0469
Street-level locationGet directions
Mailing address
Po Box 99
Columbia, SC 29202-0099
Other names (DBA / former)
- Doing business as
- Bull St District Family Practice
- Doing business as
- Cornell M. Clark, M.D.
Registry dates
- Enumerated
- 2025-03-18
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.