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Active NPI 1528099231 Individual Practitioner Male Practitioner

Randy A Bullock , APRN W PP SUB

Nurse Practitioner • Ogden, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Randy Bullock, APRN W PP SUB is a certified Nurse Practitioner practicing in Ogden, UT. With approximately 25 years of clinical experience since completing medical education in 2001, Randy Bullock delivers high-quality medical care to the local community at 237 26TH ST.

Randy Bullock is affiliated with Weber Human Services and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

237 26th St

Ogden, UT 844013105

Telephone 8016253605
Fax 8016253615
Associated Practice Facility / Clinic
🏢 Weber Human Services Facility NPI 1093737025

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ogden, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +15.2 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
86 Specialists

Practicing in Ogden, UT (1143 Statewide)

Telehealth Adoption Rate
20.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
50.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bullock (25 Years) 25 Yrs
Ogden Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
150 20 $5.62 $5.48
99213 Established patient office or other outpatient visit, typically 15 minutes
147 68 $138.36 $66.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
65 36 $198.50 $97.86

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 1996264405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License UT 8900CS

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
876000308007 (UT)

Hospital & Practice Group Affiliations

Weber Human Services

237 26th St, Ogden, UT 844013105

Phone: 8016253700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Roger Tomney

Case Manager/Care Coordinator

NPI 1053799601
Alison Barber , LCSW

Social Worker - Clinical

NPI 1063443778

Licensed Clinical Social Worker

Mary Iverson , CPCI

Counselor - Professional

NPI 1073699302
Jason Brophy , LCSW

Social Worker - Clinical

NPI 1073699393

Licensed Clinical Social Worker

Anita Ure , LCSW

Social Worker - Clinical

NPI 1093744799

Licensed Clinical Social Worker

Shauna Riley , LCSW

Social Worker - Clinical

NPI 1124051263

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 237 26TH ST, OGDEN, UT 844013105 (Tel: 8016253605)

📍
Updated Business Mailing Address July 08, 2007

Registered at 237 26TH ST, OGDEN, UT 844013105 (Tel: 8016253605)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RANDY BULLOCK, APRN W PP SUB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #1996264405 in UT)

🟢
Initial NPI Registration & Enumeration July 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528099231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

237 26th St

Ogden, UT 844013105

Phone: 8016253605

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.