Individual
REBECCA L BULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301065600
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410823
BCBSM
MI
01
—
1558407189
GROUP NPI
MI
05
—
3516825
—
MI
Enumeration date
02/01/2006
Last updated
07/18/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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