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DAVIS THOMAS DONALD BULLOCK
NPI 1528908985
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 28, 2026PECOS Enrolled
1959 NE PACIFIC ST BOX : 356421, SEATTLE, WA 98195(206) 543-3605 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davis Thomas Donald Bullock NPPES

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

DAVIS THOMAS DONALD BULLOCK (NPI 1528908985) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528908985
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVIS THOMAS DONALD BULLOCK
Location Address1959 NE PACIFIC ST BOX : 356421Seattle, WA 98195-6421
Mailing Address1959 Ne Pacific St Box : 356421Seattle, WA 98195-6421 · (206) 543-3605
Phone(206) 543-3605
Sole ProprietorNo
Enumeration DateMarch 28, 2026
NPPES CertifiedMarch 28, 2026
✔ NPI 1528908985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1959 NE PACIFIC ST BOX : 356421, Seattle, WA 98195
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davis Thomas Donald Bullock 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.

Other Providers at the Same Location NPPES 18

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

ALLISON WING-SUM CHEUNG MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST BOX : 356421
SEATTLE, WA 98195
King County (206) 543-3605
ANNA CELESTE HUGHES HOGE M.D.
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST BOX : 356421
SEATTLE, WA 98195
King County (206) 543-3605
ANOSH KERMANI
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST BOX : 356421
SEATTLE, WA 98195
King County (206) 543-3620
DR. ISHITA DUBEY MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST BOX : 356421
SEATTLE, WA 98195
King County (206) 543-3605
OLIVIA RYEN SWANDA ROGERS MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST BOX : 356421
SEATTLE, WA 98195
King County (206) 543-3605
ANDREW WILLIAM KOEFOED MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST BOX : 356421
SEATTLE, WA 98195
King County (206) 543-3605
MONICA SOLORIO MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST BOX : 356421
SEATTLE, WA 98195
King County (206) 543-3605
JAMES NEWELL
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST BOX : 356421
SEATTLE, WA 98195
King County (602) 920-2573

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 Davis Bullock's NPI number?

The NPI number for Davis Bullock is 1528908985. It was assigned to this individual provider in the NPPES registry on March 28, 2026.

Where is Davis Bullock located?

Davis Bullock practices at 1959 NE Pacific St Box : 356421, Seattle, WA 98195. The listed phone number is (206) 543-3605.

What is Davis Bullock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Davis Bullock enrolled in Medicare?

Yes. Davis Bullock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Davis Bullock was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.