- Practice location
- 4029 Dean Martin Dr, Las Vegas, NV 89103-4138
- Phone
- 702-848-2256
- Fax
- —
- Last updated
- February 26, 2025
Grant A Bullock is a Psychiatry & Neurology, Psychiatry based in Las Vegas, NV. Grant A Bullock practices in Las Vegas, NV. The NPI Number for Grant A Bullock is 1174086391 and holds a License No. DO3385 (NV). The current practice location address for Grant A Bullock is 4029 Dean Martin Dr, Las Vegas, NV 89103-4138 and can be reached out via phone at 702-848-2256.
Provider Profile Details
- NPI Number
- 1174086391
- Provider Name
- Grant A Bullock
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4029 Dean Martin Dr, Las Vegas, NV 89103-4138
- Phone Number
- 702-848-2256
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 14, 2019
- Last Update Date
- February 26, 2025
- Certification Date
- February 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4029 Dean Martin Dr
Las Vegas, NV 89103-4138 - City
- Las Vegas
- State
- Nevada
- Zip
- 89103-4138
- Phone Number
- 702-848-2256
Provider Business Mailing Address Details
- Address
- 3014 W Charleston Blvd Ste 130
Las Vegas, NV 89102-0083 - City
- Las Vegas
- State
- NV
- Zip
- 89102-0083
License Information
- License Number
- DO3385
- License State
- NV
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Grant A Bullock?
The NPI number of Mr. Grant A Bullock is 1174086391. It was assigned on April 14, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. Grant A Bullock?
Mr. Grant A Bullock is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NV under license number DO3385.
Where does Mr. Grant A Bullock practice?
The practice location is 4029 Dean Martin Dr, Las Vegas, NV 89103-4138. The office can be reached at 702-848-2256 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174086391 directly on the NPPES registry website.