NPI
Grant A Bullock
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2019-04-14
- Last updated
- 2025-02-26
Specialties
Licenses
- License NV
- DO3385
Location
- Practice location
- 4029 Dean Martin Dr
- City
- Las Vegas NV
- Postal code
- 89103-4138
- Phone
- (702) 848-2256
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. OIG's online search is the official check.
Nearby
Other NPIs in Las Vegas, NV. 80,501 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.