Jill Diane Bull, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04722 Issued in TX

Practice address

2900 Broadway St
CVS/Minute Clinic
Pearland, TX 77581-4507

Phone

(281) 997-4400

Fax

(281) 997-4400

NPI assigned

Mar 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1790753267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 FAIRMONT PKWY",
            "address_2": "APT. 10307",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054049",
            "telephone_number": "832-236-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BROADWAY ST",
            "address_2": "CVS/MINUTE CLINIC",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814507",
            "telephone_number": "281-997-4400",
            "fax_number": "281-997-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "JILL",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dien Quang Bui, MD
• Huan Hoang Bui, DMD
• Quang Dang Bui, MD
• Victor Bui, PA-C
• Vy Thuy Nguyen Bui
• Patrick Bun
• Melody Amber Burfeind, LMSW
• Afroz Burges, D.D.S.
• Robert L Burke, M.D.
• Julie Burnett

• Physician Assistant in Pearland, TX
• Providers in Pearland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.