Clayton Patrick Bulls, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03531 Issued in TX

Practice address

6200 Regional PLZ
Suite 1200
Abilene, TX 79606-5250

Phone

(325) 690-1805

Fax

(325) 690-6145

NPI assigned

Dec 29, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quantum Emergency Physicians PAGroup PAC ID 1153414503, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clay.bulls.1@15018.direct.athenahealth.com

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

• Quantum Emergency Physicians PA

  • Hospitalist Physician
  • Abilene, TX
  • NPI 1215010079
  Medicare reassignment Care Compare group
• Internal Medicine of the Big Country PLLC

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1083165831
  Medicare reassignment NPD
• Apogee Medical Group Texas PA

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1558318071

  TX

  Medicare reassignment
• E. Victor Hudman II MD PA

  • Clinic/Center
  • Abilene, TX
  • NPI 1952589400
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1063578540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 REGIONAL PLZ",
            "address_2": "SUITE 1200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065250",
            "telephone_number": "325-690-1805",
            "fax_number": "325-690-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 REGIONAL PLZ",
            "address_2": "SUITE 1200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065250",
            "telephone_number": "325-690-1805",
            "fax_number": "325-690-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLS",
        "first_name": "CLAYTON",
        "middle_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DPS REGIST. NO.",
            "identifier": "20132065",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA03531",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116581301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Shanell Buchannon, OT/L
• Susan Elaine Bueltel, P.T.
• Cynthia Jane Bueltmann, MA COUNSELING
• Jessica Thuy Tien Bui, RPH
• Mark Richmond Bullock, DDS
• Colin Bumann, DO
• Timothy P Bumann, D.O.
• Madison Michelle Bunch, COTA
• Carlton Clark Burke, M.MFT, LPC
• Lisa Burks, RN

• Medical Physician Assistant in Abilene, TX
• Providers in Abilene, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.