CLARK BULLEIT
NPI 1467287862
Student in an Organized Health Care Education/Training Program in Durham, NC
About Clark Bulleit NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK BULLEIT (NPI 1467287862) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clark Bulleit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Clark Bulleit's NPI number?
The NPI number for Clark Bulleit is 1467287862. It was assigned to this individual provider in the NPPES registry on September 4, 2024.
Where is Clark Bulleit located?
Clark Bulleit practices at Dumc 2927 40 Duke Medicine Circle 124 Davison Building, Durham, NC 27710. The listed phone number is (919) 684-2455.
What is Clark Bulleit's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Clark Bulleit enrolled in Medicare?
Yes. Clark Bulleit is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Clark Bulleit was last updated on September 4, 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.
# Clark Bulleit · NPI 1467287862
Student in an Organized Health Care Education/Training Program provider in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since September 4, 2024.
## Identity
- **NPI:** 1467287862 (Entity type: Individual)
- **Enumerated:** September 4, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** DUMC 2927 40 DUKE MEDICINE CIRCLE 124 DAVISON BUILDING, Durham, NC 27710-0001
- **Phone:** (919) 684-2455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467287862) · Data from the CMS NPPES public registry.