Active NPI
Richard F Bulger, M.D.
- Otolaryngology Physician
- Hinsdale, IL
National Provider Identifier
1760469100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036-042712
- Practice address
- 950 N York Rd
Suite 109
Hinsdale, IL 60521-2950 - Phone
- (630) 654-1391
- Fax
- (630) 654-1967
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036-042712 | IL | Primary |
Addresses
Primary practice location
950 N York Rd
Suite 109
Hinsdale, IL 60521-2950
Mailing address
950 N York Rd
Suite 109
Hinsdale, IL 60521-2950
Phone (630) 654-1391
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036042712 | Medicaid | IL | |
| 399980 | Other | IL | GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-042712 | IL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York ENT Surgical Consultants, S.C. | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Hinsdale, IL
- NPI 1417983933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1760469100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N YORK RD",
"address_2": "SUITE 109",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605212950",
"telephone_number": "630-654-1391",
"fax_number": "630-654-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N YORK RD",
"address_2": "SUITE 109",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605212950",
"telephone_number": "630-654-1391",
"fax_number": "630-654-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULGER",
"first_name": "RICHARD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036-042712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036042712",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "399980",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.