John W. Bulger M.D. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01034598A Issued in IN

Legal business name

JOHN W. BULGER M.D. P.C.

Practice address

303 S Main St
Suite 200
Mishawaka, IN 46544-2189

Phone

(574) 255-8285

Fax

(574) 255-8341

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Walter Bulger, M.D.

Title

President

Phone

(574) 255-8285

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447473780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442189",
            "telephone_number": "574-255-8285",
            "fax_number": "574-255-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442189",
            "telephone_number": "574-255-8285",
            "fax_number": "574-255-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. BULGER M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-255-8285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01034598A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.