NPI 1184633869 · live from the CMS NPI Registry
Paul V Bullis, MD
Family Medicine in Hartford, WI. National Provider Identifier 1184633869, active.
NPI record
| NPI | 1184633869 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1640 E Sumner St, Hartford, WI 53027 |
| Practice phone | 262-670-4000 |
| Mailing address | 3003 W Good Hope Rd, Milwaukee, WI 53209 |
| Enumerated | August 5, 2006 |
| Last updated | November 29, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | 41040 (WI) |
| Family Medicine primary | 207Q00000X | 41040 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.