MS. TAMMIE LEE BULLY M.D.
NPI 1366536088
Internal Medicine in Southfield, MI

Active since October 03, 2006PECOS Enrolled
29275 NORTHWESTERN HWY, SUITE 202, SOUTHFIELD, MI 48034(248) 727-1990(248) 809-3255 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Tammie Lee Bully M.d. NPPES

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

MS. TAMMIE LEE BULLY M.D. (NPI 1366536088) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (4301084811) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366536088
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. TAMMIE LEE BULLYCredential: M.D.
Location Address29275 NORTHWESTERN HWY, SUITE 202Southfield, MI 48034-1044
Mailing Address29275 Northwestern Hwy, Suite 202Southfield, MI 48034-1044 · (248) 727-1990 · Fax (248) 809-3255
Fax(248) 809-3255
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 27, 2014
NPI 1366536088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301084811
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
29275 NORTHWESTERN HWY, Southfield, MI 48034

Other Identifiers 1

Medicare ID-Type UnspecifiedP13720002MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Tammie Lee Bully M.d. 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 48034 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers38 claims89 services$6.21 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers17 claims17 services$2.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers27 claims32 services$1.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
29275 NORTHWESTERN HWY, SUITE 200
SOUTHFIELD, MI 48034
Physical Therapist
29275 NORTHWESTERN HWY, SUITE 150
SOUTHFIELD, MI 48034
Physical Therapist
29275 NORTHWESTERN HWY, SUITE 150
SOUTHFIELD, MI 48034
Physician Assistant
29275 NORTHWESTERN HWY, STE 100
SOUTHFIELD, MI 48034
Clinical Nurse Specialist (Neuroscience)
29275 NORTHWESTERN HWY, STE 100
SOUTHFIELD, MI 48034
Audiologist
29275 NORTHWESTERN HWY, SUITE 208
SOUTHFIELD, MI 48034
Neurological Surgery
29275 NORTHWESTERN HWY, STE. 100
SOUTHFIELD, MI 48034
Clinic/Center
29275 NORTHWESTERN HWY, SUITE 202
SOUTHFIELD, MI 48034

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 Tammie Bully's NPI number?

The NPI number for Tammie Bully is 1366536088. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Tammie Bully located?

Tammie Bully practices at 29275 Northwestern Hwy Suite 202, Southfield, MI 48034. The listed phone number is (248) 727-1990.

What is Tammie Bully's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tammie Bully enrolled in Medicare?

Yes. Tammie Bully is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tammie Bully was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.