MR. WILLIAM JENNISON BULKLEY (MD) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1386638286

MR. WILLIAM JENNISON BULKLEY (MD) is a healthcare provider. based in Paragould, Arkansas. specializing in OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. E1362 (AR). The NPI Number for MR. WILLIAM JENNISON BULKLEY (MD) is 1386638286

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILLIAM JENNISON BULKLEY (MD)
NPI
1386638286
Phone
(870) 240-8020
Address
PO BOX 579
Enumeration Date
7 September 2005
Last Update Date
9 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702397103
Graduation Year
1991 (35 years ago)
PAC ID
7113074980
Group Practice PAC ID
6608780119
Professional Enrollment ID
I20090414000170
Address ID
AR724504197PA1000XKING301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

103 OTOLARYNGOLOGY in AR

Provider Addresses for MR. WILLIAM JENNISON BULKLEY (MD)

  • PO BOX 579

    1000 W KINGS HWY STE 3

    PARAGOULD, AR 724510579

    Phone: (870) 240-8020

    Fax: (870) 240-8028

    Type: Mailing

  • 1000 W KINGSHIGHWAY

    STE 3

    PARAGOULD, AR 724504141

    Phone: (870) 240-8020

    Fax: (870) 240-8028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090414000170IOtolaryngologyARTBD
I20181115000263IOtolaryngologyMOTBD
I20250827004682IOtolaryngologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95810Sleep study in sleep lab (6 years or older)1414$0
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)1111$0
View full utilization report →

Insurance plans in this area (ZIP 72451)

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Provider's Procedures

MR. WILLIAM JENNISON BULKLEY (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYAR14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips6056
OTOLARYNGOLOGYAR17003Destruction of 2-14 skin growths35049
OTOLARYNGOLOGYAR95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube7466

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608780119View full group profile
NameSpecialtyState
General SurgeryAR
-AR
Orthopedic SurgeryALBERTA
-AR
Nurse PractitionerAR
Certified Registered Nurse Anesthetist (Crna)TN
Nurse PractitionerAR
Nurse PractitionerAR
P A T H O L O G YAR
Nurse PractitionerAR

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Frequently asked questions

Does MR. WILLIAM JENNISON BULKLEY (MD) have a public NPI I can cite?
Public records show MR. WILLIAM JENNISON BULKLEY (MD) under NPI 1386638286.
Is MR. WILLIAM JENNISON BULKLEY (MD) currently accepting referrals based on NPI status?
Registry metadata lists MR. WILLIAM JENNISON BULKLEY (MD) as active.
What type of care does MR. WILLIAM JENNISON BULKLEY (MD) provide?
MR. WILLIAM JENNISON BULKLEY (MD)'s profile centers on Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MR. WILLIAM JENNISON BULKLEY (MD)?
The directory associates MR. WILLIAM JENNISON BULKLEY (MD) with Paragould, Arkansas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.