MR. GRANT A BULLOCK
NPI 1174086391
Psychiatry & Neurology - Psychiatry in Las Vegas, NV

Active since April 14, 2019PECOS EnrolledAccepts Medicare Assignment
4029 DEAN MARTIN DR, LAS VEGAS, NV 89103(702) 848-2256 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2025, Jul 24, 2024, Jul 11, 2023 and 1 more (4 updates tracked since 2019).

About Mr. Grant A Bullock NPPES

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

MR. GRANT A BULLOCK (NPI 1174086391) is an individual psychiatry provider in Las Vegas, Nevada, licensed in Nevada (DO3385) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains 16 additional practice locations, and is a graduate of Univ Of Nevada, Las Vegas School Of Dental Med (2023).

NPPES Registry Identity

NPI1174086391
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMR. GRANT A BULLOCK
Location Address4029 DEAN MARTIN DRLas Vegas, NV 89103-4138
Mailing Address3014 W Charleston Blvd Ste 130Las Vegas, NV 89102-0083
Sole ProprietorNo
Medical School CMSUniv Of Nevada, Las Vegas School Of Dental MedGraduated 2023
Enumeration DateApril 14, 2019
Last NPPES UpdateFebruary 26, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
NPI 1174086391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NV · DO3385
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4029 DEAN MARTIN DR, Las Vegas, NV 89103

Secondary Practice Locations 16

Location 13014 W Charleston Blvd Ste 130Las Vegas, NV 89102-0083 · Phone (702) 671-5127
Location 22800 E Madison St Ste 201Seattle, WA 98112-4865 · Phone (702) 848-2256
Location 31111 Magnolia Ct Ste 205Moore, OK 73160-1391 · Phone (702) 848-2256
Location 4416 S Dakota St Ste 1Aberdeen, SD 57401-4615 · Phone (702) 848-2256
Location 52158 Judicial DrGermantown, TN 38138-3823 · Phone (702) 848-2256
Location 61120 Nasa Pkwy Ste 225Houston, TX 77058-3362 · Phone (702) 848-2256
Location 7185 Tilley Dr Ste 55South Burlington, VT 05403-4484 · Phone (702) 848-2256
Location 86952 Dogwood Mnr N Ste 104Olive Branch, MS 38654-2091 · Phone (702) 848-2256
Location 94 Office Park Cir Ste 317Mountain Brk, AL 35223-2511 · Phone (702) 848-2256
Location 104578 N 1st Ave Ste 100Tucson, AZ 85718-5748 · Phone (702) 848-2256
Location 111350 Connecticut Ave NW Ste 203Washington, DC 20036-1762 · Phone (702) 848-2256
Location 1216109 S Farrell RdLockport, IL 60441-8200 · Phone (702) 848-2256
Location 132333 Alexandria Dr # 112Lexington, KY 40504-3215 · Phone (702) 848-2256
Location 142535 E Mount Hope AveLansing, MI 48910-1913 · Phone (702) 848-2256
Location 157115 Kentwell LnLincoln, NE 68516-6693 · Phone (702) 848-2256
Location 1644 Princeton Ave Ste EBrick, NJ 08724-3550 · Phone (702) 848-2256

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Grant A Bullock 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 ID9032444120
PECOS Enrollment IDI20230717001897, I20240816001286, I20241014001061, I20241024004015, I20241203003492, I20241203004616, I20250102003765, I20250113003584, I20250304000741, I20250409003408, I20250410001692, I20250415003300, I20250418001090, I20250519003430, I20250627001272, I20250923001174, I20260528002903
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.

Areas of Expertise CMS Part B claims 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
264 services46 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
99 services34 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$173.24 typical visit price
range $57.07 – $173.24
Typical copayment $43.31 (range $14.26 – $43.31)
Most-billed visit code 99205
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

Psychiatry & Neurology (Psychiatry)
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Physician Assistant
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Psychiatry & Neurology (Psychiatry)
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Physician Assistant
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Nurse Practitioner (Psychiatric/Mental Health)
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Community Health Worker
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Physician Assistant
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Psychiatry & Neurology (Psychiatry)
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103

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 Grant Bullock's NPI number?

The NPI number for Grant Bullock is 1174086391. It was assigned to this individual provider in the NPPES registry on April 14, 2019.

Where is Grant Bullock located?

Grant Bullock practices at 4029 Dean Martin Dr, Las Vegas, NV 89103. The listed phone number is (702) 848-2256.

What is Grant Bullock's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Grant Bullock enrolled in Medicare?

Yes. Grant Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Grant Bullock accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Oscar Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Grant Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grant Bullock was last updated on February 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.