William Jennison Bulkley, MD

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

E1362 Issued in AR

Practice address

1000 W Kingshighway
Ste 3
Paragould, AR 72450-4141

Phone

(870) 240-8020

Fax

(870) 240-8028

NPI assigned

Sep 7, 2005

Last updated

Oct 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, MO, CA3 enrollments

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 3

Specialty

OtolaryngologyAlso: Plastic and Reconstructive Surgery

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Methodist Hospital CorporationGroup PAC ID 6608780119, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.bulkley@719647455969284.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/2732/brand/1/csg/1/fhir/r4

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.

• Arkansas Methodist Hospital Corporation

  dba AMMC Physician Group

  • Otolaryngology Physician
  • Paragould, AR
  • NPI 1205457405
  Medicare reassignment Care Compare group NPD
• Haramandeep Singh MD Inc

  dba Sleep Medicine Specialists of Calfornia

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • San Ramon, CA
  • NPI 1316105802
  Medicare reassignment NPD
• Poplar Bluff Hma Physician Management, LLC

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1598710147
  Medicare reassignment NPD
• William J Bulkley M D P a

  • Otolaryngology/Facial Plastic Surgery Physician
  • Paragould, AR
  • NPI 1427196807
  Authorized official Same address or phone

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1386638286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "address_2": "1000 W KINGS HWY STE 3",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724510579",
            "telephone_number": "870-240-8020",
            "fax_number": "870-240-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY",
            "address_2": "STE 3",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504141",
            "telephone_number": "870-240-8020",
            "fax_number": "870-240-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULKLEY",
        "first_name": "WILLIAM",
        "middle_name": "JENNISON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AR",
            "license": "E1362",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MO",
            "license": "110242",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "K6995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131703001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Buchanan
• Kennan Jude Buechter, MD
• Building Better Futures,LLC (Transitions for Life and Career)
• Kylee Bulkley, BT
• Olivia Bulkley
• Chanel Dominque Bullock, APN, FNP-C
• Waylon Elliott Bullock, PHARM D
• Burchfield Family Medicine PLLC
• Samuel Scott Burchfield, MD
• Charrae G Burdin, APRN

• Otolaryngology/Facial Plastic Surgery Physician in Paragould, AR
• Providers in Paragould, AR by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.