Individual
DR. DOUGLAS K BULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 S STATE ROAD 135, SUITE 200, GREENWOOD, IN 46143-9825
(317) 535-1876
(317) 535-5049
Mailing address
1155 W JEFFERSON ST, SUITE 101, FRANKLIN, IN 46131-2730
(317) 736-6133
(317) 736-6403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029416
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080001659
RAILROAD MEDICARE
IN
Enumeration date
11/16/2006
Last updated
05/11/2021
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