BRENT JAMES BULLOCK PMHNP, APRN
NPI 1649983198
Nurse Practitioner - Psychiatric/Mental Health in Orem, UT

Q: What is Brent Bullock's NPI number?

The NPI number for Brent Bullock is 1649983198. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Q: What is Brent Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Brent Bullock was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 29, 2022PECOS EnrolledAccepts Medicare Assignment

1375 E 800 N, OREM, UT 84097(385) 382-1555(877) 851-4180 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2026, Aug 9, 2026, Feb 13, 2023 and 2 more (5 updates tracked since 2022).

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About Brent James Bullock Pmhnp, Aprn NPPES

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

BRENT JAMES BULLOCK PMHNP, APRN (NPI 1649983198) is an individual psychiatric/mental health provider in Orem, Utah, licensed in Utah (8695221-8900) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orem, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649983198

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBRENT JAMES BULLOCKCredential: PMHNP, APRN

Location Address1375 E 800 NOrem, UT 84097-4435

Mailing Address1375 E 800 N Ste 202Orem, UT 84097-4437 · (385) 382-1555 · Fax (877) 851-4180

Phone(385) 382-1555

Fax(877) 851-4180

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 29, 2022

Last NPPES UpdateAugust 10, 20265 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1649983198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in UT · 8695221-8900✔ Licensed in UT · 8695221-4405

Also ListedRegistered NurseTaxonomy 163W00000X · License 8695221-3102 (UT)

1375 E 800 N, Orem, UT 84097

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Secondary Practice Location 1

Location 11688 N 210 EOrem, UT 84057-2203 · Phone (385) 233-7689

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brent James Bullock Pmhnp, Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789056706

PECOS Enrollment IDI20230220002315

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.

Medicare Billing Reassignment

Medicare enrollment records show Brent Bullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Levo LLC

17 mi

Psychiatric/Mental Health

121 W ELECTION RD STE 140
Draper, UT 84020

Reassigned Medicare billing, Utah enrollment
23 clinicians in this Medicare group

NPI 1740865526 (385) 382-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84097 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Other Providers at the Same Location NPPES 7

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

DR. LAUREN DALZEN DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

1375 E 800 N, SUITE 101
OREM, UT 84097

Utah County (801) 375-3355

DR. W MICHAEL BLACK DDS

Dentist (General Practice)

1375 E 800 N, SUITE 103
OREM, UT 84097

Utah County (801) 225-2310

DR. ALEX SPENCE BANKHEAD D.D.S. M.S.

Dentist (Periodontics)

1375 E 800 N, STE 104
OREM, UT 84097

Utah County (801) 221-7799

DR. JAMES A. MORGAN, D.D.S.,P.C.

Dentist

1375 E 800 N, SUITE 105
OREM, UT 84097

Utah County (801) 374-8744

J&S HEALTH ENTERPRISES LLC

Clinic/Center (Multi-Specialty)

1375 E 800 N
OREM, UT 84097

Utah County (801) 228-0617

DR. JAMES A MORGAN DDS

Dentist (General Practice)

1375 E 800 N, #105
OREM, UT 84097

Utah County (801) 374-8744

VIVACE VEIN CENTERS LLC

Surgery (Vascular Surgery)

1375 E 800 N, SUITE 205
OREM, UT 84097

Utah County (801) 785-1701

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 Brent Bullock's NPI number?

The NPI number for Brent Bullock is 1649983198. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Brent Bullock located?

Brent Bullock practices at 1375 E 800 N, Orem, UT 84097. The listed phone number is (385) 382-1555.

What is Brent Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Brent Bullock enrolled in Medicare?

Yes. Brent Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brent Bullock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Bullock reassigns Medicare benefits to Levo LLC (Draper, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brent Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brent Bullock accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Brent Bullock 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 Brent Bullock was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.