IndividualActive
Clyde Bullion, PAC
NPI 1497816052 · Physician Assistant · Anchorage, AK
Provider details
- NPI number
- 1497816052
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 450 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
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.
Practice location
2751 Debarr Rd Ste 280
Anchorage, AK 99508-2977
Phone: (907) 222-1401
Fax: (907) 222-1402
Street-level locationGet directions
Mailing address
2751 Debarr Rd Ste 280
Anchorage, AK 99508-2977
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.