DR. REGINALD THORNTON BULKLEY (MD) – Anesthesiology Physician, NPI 1639158199

DR. REGINALD THORNTON BULKLEY (MD) is a healthcare provider. based in Urbana, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 2020005840 (MO). The NPI Number for DR. REGINALD THORNTON BULKLEY (MD) is 1639158199

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. REGINALD THORNTON BULKLEY (MD)
NPI
1639158199
Phone
(800) 897-6169
Address
PO BOX 17037
Enumeration Date
12 January 2006
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
3147473000
Graduation Year
1983 (43 years ago)
PAC ID
7719960558
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20220406000983
Address ID
MO631101003SA1XXXXPLZX500

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,631 ANESTHESIOLOGY in IL

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Provider Addresses for DR. REGINALD THORNTON BULKLEY (MD)

  • PO BOX 17037

    URBANA, IL 618037037

    Phone: (800) 897-6169

    Fax: (800) 897-6170

    Type: Mailing

  • Memorial Medical Center, 701, North 1st Street, Springfield, Sangamon County, Illinois, 62781, United States

    SPRINGFIELD, IL 627810001

    Phone: (217) 788-5495

    Type: Location

  • 1 BARNES JEWISH HOSPITAL PLZ

    DEPT ANESTHESIOLOGY

    SAINT LOUIS, MO 631101003

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Location

  • 660 S EUCLID AVE

    CB 8054

    SAINT LOUIS, MO 631101010

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

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: 2022-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220406000983IAnesthesiologyMOTBD

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
01922Anesthesia for x-ray or radiation therapy3030$0
36620Insertion of artery tube for blood sampling or infusion through skin3030$0
00410Anesthesia for procedure to correct abnormal heart rhythm2323$0
00560Anesthesia for procedure on heart and large blood vessels1818$0
93312Ultrasound of heart with probe in esophagus, with report1616$0
View full utilization report →

Insurance plans in this area (ZIP 61803)

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Provider's Procedures

DR. REGINALD THORNTON BULKLEY (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin4747

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: 9830008770View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. REGINALD THORNTON BULKLEY (MD) in U.S. healthcare records?
The official identifier for DR. REGINALD THORNTON BULKLEY (MD) is NPI 1639158199.
Is DR. REGINALD THORNTON BULKLEY (MD) shown as active in public data?
Registry records indicate DR. REGINALD THORNTON BULKLEY (MD) maintains an active NPI.
How would a patient describe DR. REGINALD THORNTON BULKLEY (MD)'s focus?
For DR. REGINALD THORNTON BULKLEY (MD), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. REGINALD THORNTON BULKLEY (MD) registered?
Use Urbana, Illinois as the headline location for DR. REGINALD THORNTON BULKLEY (MD) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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