NPIMap

Individual provider Active NPI

Jordan Bull

  • Surgical Physician Assistant
  • Denver, CO
National Provider Identifier
1356884621
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0004810 Issued in CO
Practice address
1400 Jackson St
Denver, CO 80206-2762
Phone
(303) 388-4461
Fax
(303) 398-1211
NPI assigned
Nov 18, 2016
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.0004810 CO Primary

Addresses

Primary practice location

1400 Jackson St
Denver, CO 80206-2762

Mailing address

6825 S Galena St
Suite #314
Centennial, CO 80112-3715
Phone (303) 790-2225

Other practice location 1

2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419
Phone (720) 455-3775

Other practice location 2

9695 S Yosemite St Ste 255B
Lone Tree, CO 80124-2890
Phone (720) 455-3775

Other practice location 3

4110 Briargate Pkwy Ste 100B
Colorado Springs, CO 80920-7836
Phone (719) 364-0160

Other practice location 4

6825 S Galena St
Suite #314
Centennial, CO 80112-3715
Phone (303) 790-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607000761 CO Practitioner - Physician Assistant 3274800669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

9548 Park Meadows Dr
Lone Tree, CO 80124-5315
Phone (720) 848-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Oct 1, 2025 Accepting new patients
University Physicians Incorporated CurrentSince Oct 1, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2017 Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2017 Accepting new patients
University Physicians Incorporated Physician Assistant Current Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

6825 S Galena St
Ste 314
Centennial, CO 80112
Phone (303) 766-0357

Dept 1061
Denver, CO 80256

8200 E Belleview Ave
Ste 400E
Greenwood Village, CO 80111
Phone (303) 790-2225

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9548 Park Meadows Dr
Lone Tree, CO 80124
Phone (720) 848-2200

9695 S Yosemite St
Ste 255B
Lone Tree, CO 80124
Phone (303) 649-3380

Organizations & group practices 5

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

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1356884621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 S GALENA ST",
            "address_2": "SUITE #314",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123715",
            "telephone_number": "303-790-2225",
            "fax_number": "877-283-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062762",
            "telephone_number": "303-388-4461",
            "fax_number": "303-398-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2352 Meadows Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801098419",
            "country_code": "US",
            "telephone_number": "720-455-3775",
            "fax_number": "720-455-3776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9695 S Yosemite St Ste 255B",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801242890",
            "country_code": "US",
            "telephone_number": "720-455-3775",
            "fax_number": "720-455-3776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4110 Briargate Pkwy Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207836",
            "country_code": "US",
            "telephone_number": "719-364-0160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6825 S Galena St",
            "address_2": "Suite #314",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801123715",
            "country_code": "US",
            "telephone_number": "303-790-2225",
            "fax_number": "877-283-6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULL",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0004810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.