Charles K Bulley (NPI# 1083611768, PAC ID# 8527951995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083611768 |
| PAC ID by PECOS | 8527951995 |
| Professional Enrollment ID | I20070404000549 |
| Full Name | Charles K Bulley |
| Organization Legal Name | SUMMIT VIEW CLINIC INC PS |
| Address |
11019 Canyon Rd E A Puyallup WA 98373-3001 |
| Phone Number | 2535370293 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5395638761 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500079 | MULTICARE GOOD SAMARITAN HOSPITAL |
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11019 Canyon Rd E A, Puyallup, WA 98373-3001 | 2535370293 | SUMMIT VIEW CLINIC INC PS |
| Organization Legal Name | SUMMIT VIEW CLINIC INC PS |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Egge | Family Medicine | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Lex Alan Barker | Physician Assistant | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Courtney A Albert | Nurse Practitioner | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Tracy D Brady | Family Medicine | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| John Dinh | Family Medicine | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Krissa J Orlowski | Physician Assistant | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| David Brent Mccaleb | Family Medicine | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Holli S Banister | Family Medicine | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Calvin D Clarke | Nurse Practitioner | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Linh T Huynh | Family Practice | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Street Address |
11019 CANYON RD E A |
| City | PUYALLUP |
| State | WA |
| Zip | 98373-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Egge | Family Medicine | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Lex Alan Barker | Physician Assistant | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Courtney A Albert | Nurse Practitioner | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Tracy D Brady | Family Medicine | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| John Dinh | Family Medicine | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Krissa J Orlowski | Physician Assistant | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| David Brent Mccaleb | Family Medicine | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Holli S Banister | Family Medicine | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Calvin D Clarke | Nurse Practitioner | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Linh T Huynh | Family Practice | Summit View Clinic Inc Ps | 11019 Canyon Rd E A, Puyallup, WA 98373-3001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Wagner | Chiropractic | 10324 Canyon Rd E, Suite 105, Puyallup, WA 98373-1013 | |
| Kevin E Sanders | Radiation Oncology | 2920 S Meridian, Puyallup, WA 98373-1428 | |
| Jeffrey S Newman | Dermatology | Puyallup Dermatology Clinic Inc P.s. | 2622 S Meridian, Puyallup, WA 98373-1500 |
| Jason L Meeker | Dermatology | Puyallup Dermatology Clinic Inc P.s. | 2622 S Meridian, Puyallup, WA 98373-1500 |
| Philip M Mclain | Dermatology | Puyallup Dermatology Clinic Inc P.s. | 2622 S Meridian, Puyallup, WA 98373-1500 |
| Thomas K Vaughan | Dermatology | Puyallup Dermatology Clinic Inc P.s. | 2622 S Meridian, Puyallup, WA 98373-1500 |
| Mark A Crowe | Dermatology | Puyallup Dermatology Clinic Inc P.s. | 2622 S Meridian, Puyallup, WA 98373-1500 |
| Frank J Door | Chiropractic | 2401 S Meridian, Puyallup, WA 98373-1553 | |
| Sarah R Coughlin | Nurse Practitioner | Northwest Medical Specialties Pllc | 2920 S Meridian, Suite 100, Puyallup, WA 98373-1654 |
| Kayla Freeman | Physical Medicine and Rehabilitation | Outpatient Physical Therapy and Sports Rehabilitation Inc PC | 2930 S Meridian, Suite 120, Puyallup, WA 98373-1654 |
| Find all physicians in zip 98373 | |||
| City | PUYALLUP |
| Zip Code | 98373 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PUYALLUP + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles K Bulley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.