DR. MICHAEL BRENT BULLOCH (D.O.) – Family Medicine Physician, NPI 1700149804

DR. MICHAEL BRENT BULLOCH (D.O.) is a healthcare provider. based in Cedar city, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 94725281204 (UT). The NPI Number for DR. MICHAEL BRENT BULLOCH (D.O.) is 1700149804

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL BRENT BULLOCH (D.O.)
NPI
1700149804
Phone
(435) 586-7676
Address
110 W 1325 N STE 200
Enumeration Date
22 June 2012
Last Update Date
22 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352535890
Graduation Year
2012 (14 years ago)
PAC ID
7315161650
Group Practice PAC ID
3072414952
Professional Enrollment ID
I20151027001936
Address ID
UT846377700KA157XXDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for DR. MICHAEL BRENT BULLOCH (D.O.)

  • 110 W 1325 N STE 200

    CEDAR CITY, UT 847218179

    Phone: (435) 586-7676

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $666.

Total Amount is formed as General ($666) + Research ($0) + Ownership ($0) = $666.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($277).

Total Amount

$666

General + Research + Ownership

Payments

36

Total payment records

General Amount

$666

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-12-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20151027001936IFamily PracticeUTTBD
I20241226000503IFamily PracticeTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes680199$0
99214Established patient office or other outpatient visit, 30-39 minutes261195$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit148148$0
G0008Administration of influenza virus vaccine4848$0
90662Influenza vaccine split virus, preservative free4545$0
View full utilization report →

Insurance plans in this area (ZIP 84721)

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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: 3072414952View full group profile
NameSpecialtyState
Mental Health CounselorUT
Family Practice, Sports MedicineUT
Nurse PractitionerUT
Clinical Social WorkerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What NPI should I save for DR. MICHAEL BRENT BULLOCH (D.O.)?
Save NPI 1700149804 if you need a stable reference for DR. MICHAEL BRENT BULLOCH (D.O.).
Is DR. MICHAEL BRENT BULLOCH (D.O.) currently active in the NPI registry?
CMS-published data lists DR. MICHAEL BRENT BULLOCH (D.O.) as an active registrant.
What kind of provider is DR. MICHAEL BRENT BULLOCH (D.O.)?
The page reflects Family Medicine Physician for DR. MICHAEL BRENT BULLOCH (D.O.). Clinical services aligned with this taxonomy classification.
Does DR. MICHAEL BRENT BULLOCH (D.O.) practice in Utah?
You will see Cedar City, Utah on file for DR. MICHAEL BRENT BULLOCH (D.O.) alongside any extra practice locations.
What if Cedar City, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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