Individual provider Active NPI

Rebecca Bulman

  • Family Health Clinical Nurse Specialist
  • Fredericksburg, VA
National Provider Identifier
1487046702
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
0024172400 Issued in VA
Practice address
4510 Plank Rd
Ste 200
Fredericksburg, VA 22407-0138
Phone
(540) 785-9900
Fax
(540) 785-9960
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 0024172400 VA Primary

Addresses

Primary practice location

4510 Plank Rd
Ste 200
Fredericksburg, VA 22407-0138

Mailing address

4510 Plank Rd
Ste #200
Fredericksburg, VA 22407-0138
Phone (540) 785-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414000551 VA Practitioner - Nurse Practitioner 7618295122 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reverent Medical Group Inc CurrentSince May 13, 2025 Accepting new patients
Primary and Urgent Care LLC PastSince Feb 23, 2015 Accepting new patients

Locations

623 Emancipation Hwy
#101
Fredericksburg, VA 22401
Phone (800) 452-5574

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19349/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rbulman@primaryandurgentcare.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/18689/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rebecca.bulman@897112813207556.direct.elationemr.com

Organizations & group practices 2

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1487046702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 PLANK RD",
            "address_2": "STE #200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070138",
            "telephone_number": "540-785-9900",
            "fax_number": "540-785-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 PLANK RD",
            "address_2": "STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070138",
            "telephone_number": "540-785-9900",
            "fax_number": "540-785-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULMAN",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "VA",
            "license": "0024172400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.