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: August 02, 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 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 898-4021
Location 244201 Dequindre RdTroy, MI 48085-1117 · Phone (248) 964-0535
Location 318101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (313) 593-7000

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 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.

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.

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 2 other insurers 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 8 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.