NPI
Tanner R. Bulkley
NPI 1104336742
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2017-10-10
- Last updated
- 2023-07-14
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Specialties
Licenses
- License PA
- MA059314
Location
- Practice location
- 45 Mud Creek Rd
- City
- Troy PA
- Postal code
- 16947-9529
- Phone
- (570) 297-3746
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physician Assistants in Troy, PA. 5 with this primary taxonomy in the public file.
Other NPIs in Troy, PA. 140 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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