Individual
DR. MARILYN JEAN BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 RILEY HOSPITAL DR, RI 1601, INDIANAPOLIS, IN 46202-5109
(317) 274-4842
(317) 278-0126
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
01027222
IN
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
01027222A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000736257
BCBS MEMORIAL CHILDREN'S HOSPITAL
IN
05
—
100059180
—
IN
05
—
4796133
—
MI
05
—
64882368
—
KY
Enumeration date
12/13/2005
Last updated
02/13/2026
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