C. KEVIN BULLEY (M.D.) – Family Medicine Physician, NPI 1083611768

C. KEVIN BULLEY (M.D.) is a healthcare provider. based in Everett, Washington. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD00023183 (WA). The NPI Number for C. KEVIN BULLEY (M.D.) is 1083611768

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
C. KEVIN BULLEY (M.D.)
NPI
1083611768
Phone
(253) 537-0293
Address
PO BOX 5127
Enumeration Date
7 July 2005
Last Update Date
11 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2535370293
Graduation Year
1984 (42 years ago)
PAC ID
8527951995
Group Practice PAC ID
5395638761
Professional Enrollment ID
I20070404000549
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for C. KEVIN BULLEY (M.D.)

  • PO BOX 5127

    EVERETT, WA 982065127

    Phone: (253) 537-0293

    Fax: (253) 537-7650

    Type: Mailing

  • 11019 CANYON RD E

    STE. A

    PUYALLUP, WA 983733001

    Phone: (253) 537-0293

    Fax: (253) 537-7650

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98206)

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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: 5395638761View full group profile

Reviews

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Frequently asked questions

Where can patients find C. KEVIN BULLEY (M.D.)'s NPI?
You can confirm C. KEVIN BULLEY (M.D.) with NPI 1083611768; it appears in the national provider directory.
Does this profile mean C. KEVIN BULLEY (M.D.) is currently active?
Yes — C. KEVIN BULLEY (M.D.) appears active in the national provider directory.
What kind of provider is C. KEVIN BULLEY (M.D.)?
The page reflects Family Medicine Physician for C. KEVIN BULLEY (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for C. KEVIN BULLEY (M.D.)?
We surface Everett, Washington for C. KEVIN BULLEY (M.D.) based on available NPPES addresses.
Is C. KEVIN BULLEY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1083611768. Always confirm identity and privileges with the practice and licensing boards.

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