Robert Bulten, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

4301028703 Issued in MI

Practice address

4340 Burlingame Ave SW
Wyoming, MI 49509-3770

Phone

(616) 475-7922

Fax

(616) 475-7926

NPI assigned

Dec 6, 2006

Last updated

Jun 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1023177268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 BURLINGAME AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495093770",
            "telephone_number": "616-475-7922",
            "fax_number": "616-475-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 BURLINGAME AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495093770",
            "telephone_number": "616-475-7922",
            "fax_number": "616-475-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULTEN",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "MI",
            "license": "4301028703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3305965",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Budz, PA-C
• Kevin W Bueckman, D.C.
• Tyler Lee Buffin
• Angela Buggs, CHW
• Janette R Buhl, NP
• Michael J Bultje, DO
• Ashley Bunker, OTR/L
• Wesley Kenn Burcham, DDS
• Brian Burgess
• Halle Elizabeth Kershisnik Burley

• Developmental - Behavioral Pediatrics Physician in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Developmental - Behavioral Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.