Individual provider Active NPI

Justin Buls, MD

  • Family Medicine Physician
  • Kalispell, MT
National Provider Identifier
1467678623
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11703 Issued in MT
Practice address
1035 1St Ave W
Kalispell, MT 59901-5607
Phone
(406) 751-8113
Fax
(406) 751-8148
NPI assigned
Apr 17, 2007
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11703 MT Primary

Addresses

Primary practice location

1035 1St Ave W
Kalispell, MT 59901-5607

Mailing address

1035 1St Ave W
Kalispell, MT 59901-5607
Phone (406) 751-8113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20081008000020 MT Practitioner - Family Practice 6103903257 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11703MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Whitefish Past Accepting new patients
Professional Center LLP Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1467678623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE W",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015607",
            "telephone_number": "406-751-8113",
            "fax_number": "406-751-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE W",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015607",
            "telephone_number": "406-751-8113",
            "fax_number": "406-751-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULS",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "11703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.