William John Bull Jr., MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

036102621 Issued in IL

Practice address

1307 Macom Dr
Naperville, IL 60564-3202

Phone

(630) 717-6000

Fax

(630) 717-6777

NPI assigned

Jul 18, 2005

Reactivated

Apr 5, 2006

Last updated

Sep 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

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.

• Dupage Plastic Surgery, LTD

  • Plastic Surgery Physician
  • Naperville, IL
  • NPI 1730141631
  Authorized official Same address or phone

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1417956947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 MACOM DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605643202",
            "telephone_number": "630-717-6000",
            "fax_number": "630-717-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 MACOM DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605643202",
            "telephone_number": "630-717-6000",
            "fax_number": "630-717-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-09-28",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036102621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102621",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda S Buehring, P.T.
• Antonio Buena, P.T.
• Vincent John Bufalino, MD
• Kathryn Buhle
• Dana Bukala
• Rebecca D Bullock, MS, LPC
• Zorik Bunchuk, O.D.
• Dale J. Buranosky, D.P.M.
• Olena Burger, LCSW
• Brian John Burgess, DPM

• Specialist in Naperville, IL
• Providers in Naperville, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.