Bobby Bullington

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

398 E 2ND St
Booneville, AR 72927-4114

Phone

(479) 849-3270

Fax

(479) 452-5847

NPI assigned

Dec 31, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lumina Revenue Cycle Management LLC

  dba Lumina Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Van Buren, AR
  • NPI 1154894954
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1003772260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11818",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171818",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 E 2ND ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729274114",
            "telephone_number": "479-849-3270",
            "fax_number": "479-452-5847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Highway 282",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "729568718",
            "country_code": "US",
            "telephone_number": "479-242-1003",
            "fax_number": "501-510-5917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035017",
            "country_code": "US",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLINGTON",
        "first_name": "BOBBY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-31",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Booneville Community Hospital, Inc
• Booneville Community Hospital, Inc.
• Booneville Family Clinic
• Booneville Family Dental, PLLC
• Robert Benjamin Bowman, DO
• Natalie Chappell
• Tara E. Childers, APRN FNP-C
• Anthony Vincent Ciaramitaro, APRN
• Anna Marie Clifford, OTR
• Cooper Clinic PA

• Case Manager/Care Coordinator in Booneville, AR
• Providers in Booneville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.