Randy A Bullock
APRN W PP SUB | Nurse Practitioner | 24+ years Exp
237 26th St, Ogden
Utah, 84401-3105
801-625-3605
Randy A Bullock is a Ogden, Utah based nurse practitioner with 24 years of experience in . He completed his graduation in 2001. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Randy A Bullock is 1996264405 in Utah. His current practice location is 237 26th St, Ogden. Patients can reach him at 801-625-3605 or can fax him at 801-625-3615. Randy A Bullock is APRN W PP SUB and his NPI number (Unique professional ID assigned by NPPES) is 1528099231.
Randy A Bullock has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Randy A Bullock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Randy A Bullock |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | APRN W PP SUB |
| Experience: | 24+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2001 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 237 26th St, Ogden,
Utah, 84401-3105 |
| Phone: | 801-625-3605 |
| Fax: | 801-625-3615 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7315830882 |
| Enrollment ID: | I20040206000796 |
| NPI Number: | 1528099231 |
| NPI Enumeration Date: | 05 Jul, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randy A Bullock are as mentioned below.
| License Number | Specialization | State | Status | |
| 1996264405 | | Utah | Primary | |
| 8900CS | Nurse Practitioner | Utah | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Randy A Bullock is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Weber Human Services (3274430244) | 30 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Randy A Bullock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 876000308007 | Medicaid | Utah | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Randy A Bullock
237 26th St,
Ogden, Utah |
| Zip: | 84401-3105 |
| Phone Number: | 801-625-3605 |
| Fax Number: | 801-625-3615 |
Patients can reach Randy A Bullock at
237 26th St, Ogden, Utah or can
call to book an appointment on 801-625-3605.
Comments/ Reviews:
Patients can read all the reviews posted for Randy A Bullock below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Randy A Bullock. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.