Robert Dustin Bulloch, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

6573583-4406 Issued in UT

Practice address

1000 N Main St
Richfield, UT 84701-2061

Phone

(435) 893-4100

NPI assigned

Nov 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dustin Bulloch Other name

Medicare fee-for-service enrollment

Enrolled in WA, UT2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Premier Anesthesia of Richland a Division of Premier Anesthesia, LLCGroup PAC ID 4880699172, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trios Health Hospital, Kennewick, WA, CCN 500053
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  Nurse Anesthetist, Certified Registered, WA

  Medicare reassignment Care Compare group NPD
• Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC

  • Anesthesiology Physician
  • Richland, WA
  • NPI 1013940253

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Cedar Anesthesia Group LLP

  • Certified Registered Nurse Anesthetist
  • Cedar City, UT
  • NPI 1821176132

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sevier Valley Anesthesia Group, LLP

  • Certified Registered Nurse Anesthetist
  • Richfield, UT
  • NPI 1487895462

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• RCCH Trios Health LLC

  • General Acute Care Hospital
  • Kennewick, WA
  • NPI 1578058137
  Care Compare affiliation

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1982000451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012061",
            "telephone_number": "435-893-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012061",
            "telephone_number": "435-893-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015209",
            "country_code": "US",
            "telephone_number": "575-622-8170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLOCH",
        "first_name": "ROBERT",
        "middle_name": "DUSTIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-11",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60840896",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "6573583-4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097438",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTIN",
            "last_name": "BULLOCH",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vilate Broadbent
• Bryan Quinn Brown, LMT
• Janet Brown
• Jeffrey J Brown, DO
• Jordan Brown
• Britney B Bunot, D.O.
• Devone Nelson Burton, M.D.
• Tabitha Campbell, PSY.D.
• Karen O Carter
• Charles Allen Caton, MD

• Certified Registered Nurse Anesthetist in Richfield, UT
• Providers in Richfield, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.