BRANDON BULMER NP
NPI 1659143907
Nurse Practitioner - Acute Care in Roseville, MI

Active since October 30, 2023PECOS EnrolledAccepts Medicare Assignment
25195 KELLY RD STE B, ROSEVILLE, MI 48066(586) 779-2579 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 5, 2025, Mar 21, 2025, Oct 30, 2023 (3 updates tracked since 2023).

About Brandon Bulmer Np NPPES

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

BRANDON BULMER NP (NPI 1659143907) is an individual acute care provider in Roseville, Michigan, licensed in Michigan (4704311439) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1659143907
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBRANDON BULMERCredential: NP
Location Address25195 KELLY RD STE BRoseville, MI 48066-5084
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 30, 2023
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1659143907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704311439
25195 KELLY RD STE B, Roseville, MI 48066

Secondary Practice Locations 3

Location 144201 Dequindre RdTroy, MI 48085-1117 · Phone (248) 964-0535
Location 23601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 898-4021
Location 318101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (313) 593-7000

Accepted 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

Brandon Bulmer Np 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 ID2264884097
PECOS Enrollment IDI20240117003739
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 Reassignments

2

Medicare enrollment records show Brandon Bulmer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
21000 E 12 MILE RD STE 111
Saint Clair Shores, MI 48081
  • Reassigned Medicare billing, Michigan enrollment
  • 520 clinicians in this Medicare group
Surgery
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 1,030 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

Internal Medicine (Clinical Cardiac Electrophysiology)
25195 KELLY RD STE B
ROSEVILLE, MI 48066

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 Brandon Bulmer's NPI number?

The NPI number for Brandon Bulmer is 1659143907. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Brandon Bulmer located?

Brandon Bulmer practices at 25195 Kelly Rd Ste B, Roseville, MI 48066. The listed phone number is (586) 779-2579.

What is Brandon Bulmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Brandon Bulmer enrolled in Medicare?

Yes. Brandon Bulmer 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 organizations bill Medicare for Brandon Bulmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Bulmer reassigns Medicare benefits to 2 organizations: Henry Ford Health St. John Hospital (Saint Clair Shores, MI) and Beaumont Medical Group- Specialty Services (Royal Oak, MI). Each 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 Brandon Bulmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Bulmer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Brandon Bulmer 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.

Is Brandon Bulmer affiliated with any hospitals?

According to CMS data, Brandon Bulmer is affiliated with Beaumont Hospital - Dearborn and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Bulmer was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.