Michael Glenn Bullen, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

F8813 Issued in TX

Practice address

600 Elizabeth St
Corpus Christi, TX 78404-2235

Phone

(361) 887-5575

Fax

(361) 854-2480

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1164576583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 MORAY PL",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111925",
            "telephone_number": "361-887-5575",
            "fax_number": "361-854-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042235",
            "telephone_number": "361-887-5575",
            "fax_number": "361-854-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLEN",
        "first_name": "MICHAEL",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F8813",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "F8813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11568402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Rhiannon Bueno, FNP-C
• Noel Roldan Bueno Jr., PTA
• Hector Buenrostro Jr., COTA
• Paige Buenrostro, COTA
• David Buentello
• Michael Eugene Bump, CRNA
• Julie Bunch
• Rashad Bunch, PTA
• Elise Buraczyk, CCC-SLP
• Heather Burbick, DDS

• Infectious Disease Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.