Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since December 29, 2022PECOS Enrolled
1375 E 800 N, OREM, UT 84097(385) 382-1555(877) 851-4180 Get Directions Write a Review

NPPES record last updated: August 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2026, Feb 13, 2023, Jan 11, 2023 and 1 more (4 updates tracked since 2022).

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 and maintains a secondary practice location in Orem.

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
Fax(877) 851-4180
Sole ProprietorNo
Enumeration DateDecember 29, 2022
Last NPPES UpdateAugust 9, 20264 updates tracked since enumeration
NPPES CertifiedAugust 9, 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

Secondary Practice Location 1

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

Accepted 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)

Brent James Bullock Pmhnp, Aprn 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 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.

Dentist (Orthodontics and Dentofacial Orthopedics)
1375 E 800 N, SUITE 101
OREM, UT 84097
Dentist (General Practice)
1375 E 800 N, SUITE 103
OREM, UT 84097
Dentist (Periodontics)
1375 E 800 N, STE 104
OREM, UT 84097
Dentist
1375 E 800 N, SUITE 105
OREM, UT 84097
Clinic/Center (Multi-Specialty)
1375 E 800 N
OREM, UT 84097
Dentist (General Practice)
1375 E 800 N, #105
OREM, UT 84097
Surgery (Vascular Surgery)
1375 E 800 N, SUITE 205
OREM, UT 84097

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 enrollment system.

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 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated yesterday. 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.