David Warren Buller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H3446 Issued in TX

Practice address

602 N Titus
Suite 120
Gilmer, TX 75644

Phone

(903) 843-5585

Fax

(903) 843-5587

NPI assigned

May 27, 2005

Reactivated

Oct 18, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency MedicineAlso: Family Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians

Associated Clinicians of East TexasGroup PAC ID 4789957440, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Traditions Hospice Hospice, Longview, TX, CCN 671689
• Ut Health East Texas Pittsburg Hospital Hospital, Pittsburg, TX, CCN 451367
• Gilmer Nursing & Rehabilitation Nursing home, Gilmer, TX, CCN 675801

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.buller.1@23550.direct.athenahealth.com
• Direct secure messaging: dbuller355291@ahs.direct-ci.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.

• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  Medicare reassignment Care Compare group NPD
• Associated Clinicians of East Texas

  dba Diagnostic Clinic of Longview

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1932640349

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Healthier Way Family Care PLLC

  • Rural Health Clinic/Center
  • Ore City, TX
  • NPI 1023612777
  Medicare reassignment NPD
• Longview Integrated Medicine PLLC

  dba Longview Spine & Sports Medicine

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Longview, TX
  • NPI 1801302203

  Family Medicine

  Medicare reassignment NPD
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Longview, TX
  • NPI 1508824038
  Medicare reassignment NPD
• Stonebridge Health PLLC

  dba Stonebridge Clinics

  • Multi-Specialty Clinic/Center
  • The Colony, TX
  • NPI 1023684362
  Medicare reassignment NPD
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • Rehabilitation Hospital Unit
  • Longview, TX
  • NPI 1699733097
  NPD
• Stonebridge Clinics, PLLC

  dba Stonebridge Chiropractic

  • Chiropractor
  • The Colony, TX
  • NPI 1427413996
  NPD
• Associated Clinicians of East Texas

  dba Diagnostic Clinic of Longview

  • Community/Retail Pharmacy
  • Longview, TX
  • NPI 1447451406
  NPD (past)
• East Texas Medical Center Healthcare Associates

  dba Texas Trauma and Emergency Care

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1326082892
  NPD (past)
• Gilmer I Enterprises, L.L.C.

  dba Gilmer Nursing & Rehabilitation

  • Skilled Nursing Facility
  • Gilmer, TX
  • NPI 1144821182
  NPD (past)
• Lewis R. King, MD

  • Family Medicine Physician
  • Gilmer, TX
  • NPI 1033211396
  NPD (past)

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

• Gilmer I Enterprises, L.L.C.

  dba Gilmer Nursing & Rehabilitation

  • Skilled Nursing Facility
  • Gilmer, TX
  • NPI 1144821182

  Nursing home

  Care Compare affiliation
• Pittsburg Hospital LLC

  • Critical Access Hospital
  • Pittsburg, TX
  • NPI 1184132524
  Care Compare affiliation
• Traditions Hospice of Longview, LLC

  dba Traditions Health

  • Community Based Hospice Care Agency
  • Longview, TX
  • NPI 1316230139
  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1285637843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610393",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752610393",
            "telephone_number": "903-291-6187",
            "fax_number": "903-237-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N TITUS",
            "address_2": "SUITE 120",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "75644",
            "telephone_number": "903-843-5585",
            "fax_number": "903-843-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLER",
        "first_name": "DAVID",
        "middle_name": "WARREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2019-09-20",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H3446",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H3446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137338321",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluebell Speech and Language Services PLLC
• Cindy Marie Bomgardner, RN
• Kristen E Boyer, LPC-ASSOCIATE
• Melanie Mercer Brashear, RPH
• Heather D Brooks, PT
• Wendy Jaye Burke, M.D.
• Kristy Campbell, LMT
• Kish L. Carlton, MD
• Commander Health LLC (Commander Family Care)
• Ashley Nichole Cook, OTR

• Family Medicine Physician in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.