R. BRYAN GULLEY DDS
NPI 1700973658
Dentist - Oral and Maxillofacial Surgery in Crp Christi, TX

Active since October 10, 2006Opted out of Medicare · through Aug 19, 2026
6421 SARATOGA BLVD, 101, CRP CHRISTI, TX 78414(361) 992-3873(361) 992-7328 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About R. Bryan Gulley Dds NPPES

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

R. BRYAN GULLEY DDS (NPI 1700973658) is an individual oral and maxillofacial surgery provider in Crp Christi, Texas, licensed in Texas (12010) and active in the NPI registry since October 2006. He has opted out of Medicare through August 19, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700973658
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameR. BRYAN GULLEYCredential: DDS
Location Address6421 SARATOGA BLVD, 101Crp Christi, TX 78414-3479
Mailing Address6421 Saratoga Blvd, 101Crp Christi, TX 78414-3479 · (361) 992-3873 · Fax (361) 992-7328
Fax(361) 992-7328
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 23, 2011
NPI 1700973658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TX · 12010
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6421 SARATOGA BLVD, Crp Christi, TX 78414

Other Identifiers 3

Medicaid0902611-02TX
Medicare PIND12010TX
Medicare UPINT13595TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

R. Bryan Gulley Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 19, 2014 through August 19, 2026.

Opt-Out Effective DateAugust 19, 2014
Opt-Out In Effect ThroughAugust 19, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78414 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 5

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

Dentist (Oral and Maxillofacial Surgery)
6421 SARATOGA BLVD, BUILDING 101
CORPUS CHRISTI, TX 78414
Dentist (Periodontics)
6421 SARATOGA BLVD
CORPUS CHRISTI, TX 78414
Dentist (Oral and Maxillofacial Surgery)
6421 SARATOGA BLVD, BLDG 101
CORPUS CHRISTI, TX 78414
Clinic/Center (Ambulatory Surgical)
6421 SARATOGA BLVD, BLDG 105
CORPUS CHRISTI, TX 78414
Specialist
6421 SARATOGA BLVD, BLDG - 106
CORPUS CHRISTI, TX 78414

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 R. Gulley's NPI number?

The NPI number for R. Gulley is 1700973658. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is R. Gulley located?

R. Gulley practices at 6421 Saratoga Blvd 101, Crp Christi, TX 78414. The listed phone number is (361) 992-3873.

What is R. Gulley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is R. Gulley enrolled in Medicare?

No. R. Gulley has opted out of Medicare through August 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does R. Gulley accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list R. Gulley 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 R. Gulley was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.