BRANDON SCOTT BULLOCH DDS
NPI 1336880913
Dentist - Prosthodontics in Fayetteville, AR

Q: What is Brandon Bulloch's NPI number?

The NPI number for Brandon Bulloch is 1336880913. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Brandon Bulloch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Bulloch was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 06, 2022PECOS Enrolled

3394 N FUTRALL DR STE 2, FAYETTEVILLE, AR 72703(479) 582-3360 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2024, Apr 6, 2022 (2 updates tracked since 2022).

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About Brandon Scott Bulloch Dds NPPES

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

BRANDON SCOTT BULLOCH DDS (NPI 1336880913) is an individual prosthodontics provider in Fayetteville, Arkansas, licensed in Arkansas (4795) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336880913

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameBRANDON SCOTT BULLOCHCredential: DDS

Location Address3394 N FUTRALL DR STE 2Fayetteville, AR 72703-3937

Mailing Address3394 N Futrall Dr Ste 2Fayetteville, AR 72703-3937 · (479) 582-3360

Phone(479) 582-3360

Sole ProprietorNo

Enumeration DateApril 6, 2022

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1336880913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in AR · 4795

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

3394 N FUTRALL DR STE 2, Fayetteville, AR 72703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Scott 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 2

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

MRS. BRANDI LYNN LANE CRNA

Nurse Anesthetist, Certified Registered

3394 N FUTRALL DR STE 2
FAYETTEVILLE, AR 72703

Washington County (918) 527-4824

R DEAN MCNEAL DDS PA

Dentist (Prosthodontics)

3394 N FUTRALL DR STE 2
FAYETTEVILLE, AR 72703

Washington County (479) 582-3360

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 Brandon Bulloch's NPI number?

The NPI number for Brandon Bulloch is 1336880913. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Brandon Bulloch located?

Brandon Bulloch practices at 3394 N Futrall Dr Ste 2, Fayetteville, AR 72703. The listed phone number is (479) 582-3360.

What is Brandon Bulloch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Brandon Bulloch enrolled in Medicare?

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

What insurance does Brandon Bulloch accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Brandon Bulloch 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 Brandon Bulloch was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.