Individual provider Active NPI

David A Bulley, MD

  • Diagnostic Radiology Physician
  • Bradenton, FL
National Provider Identifier
1912950635
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME68320 Issued in FL
Practice address
2020 59TH St West
Blake Medical Center
Bradenton, FL 34209
Phone
(941) 792-6611
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 43

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.

View all 43

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Vermont College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks Inc 966 clinicians
Radiology Physician Solutions of West Florida LLC 62 clinicians
Radiology Associates of Tallahassee PA 25 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2020 59TH St W
Bradenton, FL 34209-4604
Phone (800) 437-2672

406 Bay Dr S
Bradenton Beach, FL 34217-2415
Phone (800) 437-2672

406 S Bay Blvd
Anna Maria, FL 34216-0964
Phone (941) 807-6610

8732 Fernwicke CT
Orlando, FL 32819-3830
Phone (888) 742-7927

Hospital & facility affiliations

  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, SC, IA, TX, WI, NC7 enrollments
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.

Medicare enrollment records 7

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040712000635 FL Practitioner - Diagnostic Radiology 2961480306 Reassigns benefits to 18 organizations
I20240529001056 IL Practitioner - Diagnostic Radiology 2961480306
I20240603003960 SC Practitioner - Diagnostic Radiology 2961480306 Reassigns benefits to 2 organizations
I20240711000347 IA Practitioner - Diagnostic Radiology 2961480306 Reassigns benefits to 1 organization
I20240723000820 TX Practitioner - Diagnostic Radiology 2961480306 Reassigns benefits to 2 organizations
I20241106003407 WI Practitioner - Diagnostic Radiology 2961480306 Reassigns benefits to 1 organization
I20241112003026 NC Practitioner - Diagnostic Radiology 2961480306 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME68320FLMDDiagnostic Radiology Physician
4399WIMDOccupational Therapist

Practice roles (42 of 44)

OrganizationSpecialtyStatusNew patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Aug 18, 2024 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Oct 1, 2024 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Plains Radiology Services LLC Diagnostic Radiology CurrentSince Aug 15, 2024 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
Chickasaw Nation Division of Health Current Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Radiology Consultants of Iowa, PLC Diagnostic Radiology CurrentSince Jan 26, 2025 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology Current Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Apr 10, 2018 Accepting new patients
Florida Keys Radiology Associates LLP Diagnostic Radiology CurrentSince Apr 27, 2024 Accepting new patients
Freeport Memorial Hospital CurrentSince May 6, 2024 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jun 10, 2024 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Aug 1, 2024 Accepting new patients
Henry County Health Center Inc CurrentSince Mar 1, 2025 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Aug 1, 2024 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
Mahaska County Hospital Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Hegg Memorial Hospital CurrentSince Jun 1, 2024 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Apr 10, 2018 Accepting new patients
Hegg Memorial Hospital CurrentSince Jun 1, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Apr 17, 2024 Accepting new patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Aug 9, 2024 Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Oct 1, 2024 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jun 10, 2024 Accepting new patients
Western Mass Physician Associates Inc Current Accepting new patients
Cheyenne Radiology Group CurrentSince Jan 13, 2025 Accepting new patients
Chickasaw Nation Division of Health Past Accepting new patients
John Fitzgibbon Memorial Hospital Inc. Diagnostic Radiology Past Accepting new patients
Lima Radiological Associates Diagnostic Radiology PastSince Aug 1, 2022 Accepting new patients

Locations (25 of 44)

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

804 40th St W
Bradenton, FL 34205
Phone (813) 748-4900

315 75th St W
Bradenton, FL 34209
Phone (941) 761-1616

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

6415 Lake Worth Rd
Ste 102
Greenacres, FL 33463
Phone (561) 327-6977

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

2459 Mahan Dr
Tallahassee, FL 32308

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: dbulley2943357@carolinashealthcaresystem.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME68320 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2020 59TH St West
Blake Medical Center
Bradenton, FL 34209

Mailing address

804 40TH St West
Stoutamyer-Stratos-Schroeder-Whaley-Rizzo & Assoc MD PA
Bradenton, FL 34205
Phone (941) 749-5464

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
377611500MedicaidFL
300087672OtherFLRAIL ROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2010.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1912950635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 40TH ST WEST",
            "address_2": "STOUTAMYER-STRATOS-SCHROEDER-WHALEY-RIZZO & ASSOC MD PA",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34205",
            "telephone_number": "941-749-5464",
            "fax_number": "941-747-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 59TH ST WEST",
            "address_2": "BLAKE MEDICAL CENTER",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLEY",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME68320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377611500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "300087672",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.