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REBECCA L BULTMAN MD
NPI 1972574309
Pediatrics in Grand Rapids, MI

Active since February 01, 2006PECOS Enrolled
100 MICHIGAN ST NE, ROOM 280, GRAND RAPIDS, MI 49503(616) 391-5275(616) 391-8848 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca L Bultman Md NPPES

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

REBECCA L BULTMAN MD (NPI 1972574309) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301065600) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972574309
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameREBECCA L BULTMANCredential: MD
Location Address100 MICHIGAN ST NE, ROOM 280Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 391-5275
Fax(616) 391-8848
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1972574309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301065600
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 MICHIGAN ST NE, Grand Rapids, MI 49503
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Other Names 1

Former Name (1)Rebecca Lynn Bos

Other Identifiers 3

Other1558407189MI · Group Npi
Other0410823MI · Bcbsm
Medicaid3516825MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca L Bultman Md 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 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

MAUREEN TAN PEDRES M.D.
Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
MATTHEW H ARMSTRONG MD
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
ALINE DE QUADROS TEIXEIRA MD
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
DR. LINDSEY DANIELLE CONRADO PT, DPT
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (161) 639-1177
DANIEL H. ROBINSON D.O.
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
MARK GREENWOOD DO
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Kent County (616) 391-5310
RAYMOND SCUREK MD
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1680
MRS. RACHEL LEIGH VANSTRIEN PA-C
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503
Kent County (616) 391-0800

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 Rebecca Bultman's NPI number?

The NPI number for Rebecca Bultman is 1972574309. It was assigned to this individual provider in the NPPES registry on February 1, 2006. The provider is also known as Rebecca Lynn Bos.

Where is Rebecca Bultman located?

Rebecca Bultman practices at 100 Michigan St NE Room 280, Grand Rapids, MI 49503. The listed phone number is (616) 391-5275.

What is Rebecca Bultman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rebecca Bultman enrolled in Medicare?

Yes. Rebecca Bultman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Bultman was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.