Bullis, David Bryan

Bullis, David Bryan is an individual health care provider with primary practice located at 560 W Macphail Rd , Bel Air MD 21014-4320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bullis, David Bryan can be contacted via phone (410) 638-6480.

Contact Information

Primary practice address
560 W Macphail Rd Bel Air MD 21014-4320
Phone: (410) 638-6480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0037491 Maryland

Profile Details

NPI number 1295772036
LBN Legal business name Bullis, David Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295772036 NPPES
Maryland Other P00187243 RAILROAD MEDICARE
Maryland MEDICAID 190581300 RAILROAD MEDICARE

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