Individual provider Active NPI

Tatjana Bulat, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1063459436
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79317 Issued in FL
Practice address
11605 N Nebraska Ave
Tampa, FL 33612-5738
Phone
(813) 558-3923
Fax
(813) 558-3990
NPI assigned
Jun 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME79317 FL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME79317 FL

Addresses

Primary practice location

11605 N Nebraska Ave
Tampa, FL 33612-5738

Mailing address

15817 Dawson Ridge Dr
Tampa, FL 33647-1322
Phone (813) 558-3923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063459436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15817 DAWSON RIDGE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471322",
            "telephone_number": "813-558-3923",
            "fax_number": "813-558-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125738",
            "telephone_number": "813-558-3923",
            "fax_number": "813-558-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULAT",
        "first_name": "TATJANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79317",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME79317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.