MR. MARK JEFFREY BULLOCK D.P.M.
NPI 1134482532
Podiatrist - Foot & Ankle Surgery in Saginaw, MI

Q: What is Mark Bullock's NPI number?

The NPI number for Mark Bullock is 1134482532. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Q: What is Mark Bullock's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Mark Bullock was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment

5483 GRATIOT RD, SAGINAW, MI 48638(989) 583-5626(989) 583-1837 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2021, Aug 25, 2017 (2 updates tracked since 2017).

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About Mr. Mark Jeffrey Bullock D.p.m. NPPES

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

MR. MARK JEFFREY BULLOCK D.P.M. (NPI 1134482532) is an individual foot & ankle surgery provider in Saginaw, Michigan, licensed in Michigan (5901002436) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1134482532

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameMR. MARK JEFFREY BULLOCKCredential: D.P.M.

Location Address5483 GRATIOT RDSaginaw, MI 48638-6037

Mailing Address1447 North HarrisonSaginaw, MI 48602 · (989) 799-5557 · Fax (989) 799-5557

Phone(989) 583-5626

Fax(989) 583-1837

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2012

Enumeration DateJune 20, 2012

Last NPPES UpdateSeptember 22, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2023

✔ NPI 1134482532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in MI · 5901002436

5483 GRATIOT RD, Saginaw, MI 48638

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Secondary Practice Location 1

Location 1700 Cooper AveSaginaw, MI 48602-5383 · Phone (989) 583-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark Jeffrey Bullock D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638461684

PECOS Enrollment IDI20160712000961

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mark Bullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Center, Inc.

1.5 mi

Urgent Care

5570 STATE ST
Saginaw, MI 48603

Reassigned Medicare billing, Michigan enrollment
720 clinicians in this Medicare group

NPI 1831244466 (989) 583-0100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

178 services88 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

103 services61 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

100 services25 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

100 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

84 services21 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

34 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230070

Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

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

EMILY WILSON

Nurse Practitioner (Family)