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BRYCE RICHARD BULLOCH DDS
NPI 1205675394
Student in an Organized Health Care Education/Training Program in Iowa City, IA

Active since May 20, 2024PECOS Enrolled
801 NEWTON RD, IOWA CITY, IA 52242(435) 680-8962 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryce Richard Bulloch Dds NPPES

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

BRYCE RICHARD BULLOCH DDS (NPI 1205675394) is an individual student in an organized health care education/training program in Iowa City, Iowa and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1205675394
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRYCE RICHARD BULLOCHCredential: DDS
Location Address801 NEWTON RDIowa City, IA 52242-8004
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (435) 680-8962
Phone(435) 680-8962
Sole ProprietorNo
Enumeration DateMay 20, 2024
Last NPPES UpdateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
✔ NPI 1205675394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
801 NEWTON RD, Iowa City, IA 52242
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Secondary Practice Location 1

Location 1801 Newton RdIowa city, IA 52242 · Phone (319) 335-7499

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryce Richard Bulloch Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. JUSTIN WILLIAM NICHOLS D.D.S.
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
DR. TENIOLA OMOPARIOLA DDS
Dentist
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7499
STEVEN DORRIS
Dentist (Oral and Maxillofacial Radiology)
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
AUSTIN HINKLE
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
JADEN PATRICK HOLTON DDS
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
YAA SERWAA ASUBONTENG BDS
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7499
DR. MICHAEL PATRICK OWEN D.M.D.
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
DR. MARAM EMAD JARADAT BDS
Dentist (General Practice)
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440

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 Bryce Bulloch's NPI number?

The NPI number for Bryce Bulloch is 1205675394. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Bryce Bulloch located?

Bryce Bulloch practices at 801 Newton Rd, Iowa City, IA 52242. The listed phone number is (435) 680-8962.

What is Bryce Bulloch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bryce Bulloch enrolled in Medicare?

Yes. Bryce Bulloch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryce Bulloch was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.