DR. TIMOTHY C BULLARD MD
NPI 1306801766
Family Medicine in Marina Del Rey, CA
About Dr. Timothy C Bullard Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY C BULLARD MD (NPI 1306801766) is an individual family medicine provider in Marina Del Rey, California, licensed in California (A64738) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
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
Dr. Timothy C Bullard Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Timothy Bullard reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 clinicians in this Medicare group
Glendale, CA 91201
- Reassigned Medicare billing, California enrollment
- 273 clinicians in this Medicare group
Riverside, CA 92501
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
La Porte, IN 46350
- Reassigned Medicare billing, Indiana enrollment
- 101 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
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 Timothy Bullard's NPI number?
The NPI number for Timothy Bullard is 1306801766. It was assigned to this individual provider in the NPPES registry on April 19, 2006.
Where is Timothy Bullard located?
Timothy Bullard practices at 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292. The listed phone number is (108) 273-7003.
What is Timothy Bullard's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Timothy Bullard enrolled in Medicare?
Yes. Timothy Bullard 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.
Which organizations bill Medicare for Timothy Bullard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Bullard reassigns Medicare benefits to 4 organizations: The Regents Of The University Of California (Los Angeles, CA), Regents Of The University Of California (Glendale, CA), Cep America - California (Riverside, CA) and North Indiana Emergency Physicians, LLP (La Porte, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Bullard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Bullard was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Timothy C Bullard, MD · NPI 1306801766
Family Medicine physician in Marina Del Rey, California. Individual provider, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1306801766 (Entity type: Individual)
- **Enumerated:** April 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A64738 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4560 ADMIRALTY WAY STE 100, Marina Del Rey, CA 90292-5424
- **Phone:** (108) 273-7003
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA); Regents Of The University Of California (NPI 1891110888, Glendale, CA); Cep America - California (NPI 1386750578, Riverside, CA); North Indiana Emergency Physicians, LLP (NPI 1144691478, La Porte, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** October 7, 2021
- **Other identifiers:** Other 930098046 (CA); Medicaid 1306801766 (MI); Other 1306801766 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1306801766) · Data from the CMS NPPES public registry.