Individual provider Active NPI

Susan Ruth Bulen, MD

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
National Provider Identifier
1407849151
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20625 Issued in AZ
Practice address
1921 W Hospital Dr
Tucson, AZ 85704-7806
Phone
(520) 296-9399
Fax
(520) 296-9551
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20625 AZ Primary

Addresses

Primary practice location

1921 W Hospital Dr
Tucson, AZ 85704-7806

Mailing address

PO Box 36179
Tucson, AZ 85740-6179
Phone (520) 296-9399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20051129000805 AZ Practitioner - Physical Medicine and Rehabilitation 9335169838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Un of California, Irvine, College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1921 W Hospital Dr
Tucson, AZ 85704-7806
Phone (520) 296-9399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Bulen MD PLC Physical Medicine & Rehabilitation CurrentSince Jul 15, 2011 Accepting new patients

Locations

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1407849151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36179",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857406179",
            "telephone_number": "520-296-9399",
            "fax_number": "520-296-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W HOSPITAL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047806",
            "telephone_number": "520-296-9399",
            "fax_number": "520-296-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULEN",
        "first_name": "SUSAN",
        "middle_name": "RUTH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "20625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.