Individual provider Active NPI

Malcolm I Bull, M.D.

  • Radiation Oncology Physician
  • Anchorage, AK
National Provider Identifier
1942331558
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
J0924 Issued in TX
Practice address
7220 Russell Cir
Anchorage, AK 99507-6755
Phone
(907) 868-7864
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X AK 5038 AK
Radiation Oncology Physician 2085R0001X J0924 TX Primary

Addresses

Primary practice location

7220 Russell Cir
Anchorage, AK 99507-6755

Mailing address

7220 Russell Cir
Anchorage, AK 99507-6755
Phone (907) 868-7864

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

LicenseStateTypeSpecialty
AK 5038AKMDTherapeutic Radiology Physician
0326SDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Katmai Oncology Group, LLC PastSince Feb 14, 2021 Accepting new patients
Prairie Lakes Health Care System Inc Past Accepting new patients
Katmai Oncology Group, LLC PastSince May 22, 2022 Accepting new patients
Diagnostic Radiology Associates LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1942331558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 RUSSELL CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995076755",
            "telephone_number": "907-868-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 RUSSELL CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995076755",
            "telephone_number": "907-868-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "MALCOLM",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "AK",
            "license": "AK 5038",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "J0924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.