Kelly Bullock, D.O.
NPI 1407941057 · Family Medicine Physician · Randolph, NE
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Bullock, D.O. is a Family Medicine Physician provider in Randolph, NE (NPI 1407941057).
Provider details
- NPI number
- 1407941057
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 461 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metformin Hcl | 68 | 11 |
| Potassium Chloride | 61 | — |
| Lisinopril | 52 | 13 |
| Apixabanbrand: Eliquis | 52 | — |
| Levothyroxine Sodium | 44 | — |
| Atorvastatin Calcium | 36 | — |
| Tamsulosin Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2022-02-15
- Certified
- 2022-02-15
Frequently asked questions
- What is Kelly Bullock's NPI number?
- Kelly Bullock's National Provider Identifier (NPI) is 1407941057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Bullock's specialty?
- Kelly Bullock is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Bullock located?
- Kelly Bullock's practice location on file with NPPES is 106 E Wayne St, Randolph, NE 68771-5300.
- What is Kelly Bullock's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bullock is (402) 337-0200.
- Does Kelly Bullock accept Medicare?
- Kelly Bullock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Bullock's NPI active?
- Yes — Kelly Bullock's NPI (1407941057) is active in the NPPES registry as of the last update on 2022-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.