Active NPI
William J Bulkley M D P a
- Otolaryngology/Facial Plastic Surgery Physician
- Paragould, AR
National Provider Identifier
1427196807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- Legal business name
- WILLIAM J BULKLEY M D P A
- Practice address
- 1000 W Kingshighway
Ste # 3
Paragould, AR 72450-4141 - Phone
- (870) 240-8020
- Fax
- (870) 240-8028
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Jennison Bulkley, M.D.
- Title
- Physican - Owner
- Phone
- (870) 240-8020
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | |||
| Otolaryngic Allergy Physician | 207YX0602X | |||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Primary | ||
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | |||
| Surgery Physician | 208600000X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | |||
| Audiologist | 231H00000X | A417 | AR |
Addresses
Primary practice location
1000 W Kingshighway
Ste # 3
Paragould, AR 72450-4141
Mailing address
PO Box 579
Paragould, AR 72451-0579
Phone (870) 240-8020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131753002 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509321600000",
"number": "1427196807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 579",
"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": {
"organization_name": "WILLIAM J BULKLEY M D P A",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2017-10-30",
"status": "A",
"authorized_official_last_name": "BULKLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JENNISON",
"authorized_official_title_or_position": "PHYSICAN - OWNER",
"authorized_official_telephone_number": "870-240-8020",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Sleep Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2082S0099X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "AR",
"license": "A417",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131753002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.