Individual
DAVID BRYAN BULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 W MACPHAIL RD, BEL AIR, MD 21014-4320
(410) 638-6480
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0037491
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190581300
—
MD
01
—
P00187243
RAILROAD MEDICARE
MD
Enumeration date
06/01/2006
Last updated
02/15/2021
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