MARK J BULT M.D.
NPI 1326014945
Specialist in Bolivar, MO

Active since February 24, 2006
1155 W PARKVIEW, SUITE 1C, BOLIVAR, MO 65613(417) 326-7246(417) 777-2968 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark J Bult M.d. NPPES

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

MARK J BULT M.D. (NPI 1326014945) is an individual specialist in Bolivar, Missouri, licensed in Missouri (R5G60) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1326014945
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK J BULTCredential: M.D.
Location Address1155 W PARKVIEW, SUITE 1CBolivar, MO 65613-7800
Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 326-6000 · Fax (417) 328-6338
Fax(417) 777-2968
Sole ProprietorYes
Enumeration DateFebruary 24, 2006
Last NPPES UpdateDecember 14, 2015
NPI 1326014945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MO · R5G60
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1155 W PARKVIEW, Bolivar, MO 65613

Other Identifiers 1

Medicare OSCAR/certification909103888

Other Providers at the Same Location NPPES 2

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

Surgery
1155 W PARKVIEW, SUITE 1F
BOLIVAR, MO 65613
Urology
1155 W PARKVIEW, SUITE 2C
BOLIVAR, MO 65613

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 Mark Bult's NPI number?

The NPI number for Mark Bult is 1326014945. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Mark Bult located?

Mark Bult practices at 1155 W Parkview Suite 1C, Bolivar, MO 65613. The listed phone number is (417) 326-7246.

What is Mark Bult's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mark Bult was last updated on December 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.