C. KEVIN BULLEY M.D.
NPI 1083611768
Family Medicine in Puyallup, WA

Active since July 07, 2005
11019 CANYON RD E, STE. A, PUYALLUP, WA 98373(253) 537-0293(253) 537-7650 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About C. Kevin Bulley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

C. KEVIN BULLEY M.D. (NPI 1083611768) is an individual family medicine provider in Puyallup, Washington, licensed in Washington (MD00023183) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1083611768
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameC. KEVIN BULLEYCredential: M.D.
Location Address11019 CANYON RD E, STE. APuyallup, WA 98373-3001
Mailing AddressPo Box 5127Everett, WA 98206-5127 · (253) 537-0293 · Fax (253) 537-7650
Fax(253) 537-7650
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
NPI 1083611768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00023183
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11019 CANYON RD E, Puyallup, WA 98373

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
11019 CANYON RD E, SUITE C
PUYALLUP, WA 98373
Family Medicine
11019 CANYON RD E
PUYALLUP, WA 98373
Radiologic Technologist (Bone Densitometry)
11019 CANYON RD E
PUYALLUP, WA 98373
Family Medicine
11019 CANYON RD E
PUYALLUP, WA 98373
Physician Assistant (Medical)
11019 CANYON RD E, SUITE A
PUYALLUP, WA 98373
Durable Medical Equipment & Medical Supplies
11019 CANYON RD E, SUITE C
PUYALLUP, WA 98373
Physician Assistant
11019 CANYON RD E
PUYALLUP, WA 98373
Family Medicine
11019 CANYON RD E, STE A
PUYALLUP, WA 98373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C. Bulley's NPI number?

The NPI number for C. Bulley is 1083611768. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is C. Bulley located?

C. Bulley practices at 11019 Canyon Rd E Ste. A, Puyallup, WA 98373. The listed phone number is (253) 537-0293.

What is C. Bulley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for C. Bulley was last updated on September 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.