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Brent Bullock, PMHNP, APRN — NPI 1649983198, Orem, UT | NPI Central

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NPI 1649983198

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Brent Bullock, PMHNP, APRN

NPI 1649983198 · Psychiatric/Mental Health Nurse Practitioner · Orem, UT

Provider details

NPI number: 1649983198
Entity type: Individual
Primary specialty: Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: PMHNP, APRN
Sex: Male
Sole proprietor: No
License: 8695221-4405 (UT)

Specialties & taxonomies

Psychiatric/Mental Health Nurse PractitionerPrimary363LP0808XLicense 8695221-8900 (UT)
Physician Assistants & Advanced Practice Nursing Providers
Psychiatric/Mental Health Nurse Practitioner363LP0808XLicense 8695221-4405 (UT)
Physician Assistants & Advanced Practice Nursing Providers
Registered Nurse163W00000XLicense 8695221-3102 (UT)
Nursing Service Providers

Practice location

1688 N 210 E

Orem, UT 84057-2203

Phone: (385) 233-7689

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

1688 N 210 E

Orem, UT 84057-2203

Additional practice locations (1)

1375 E 800 N
Orem, UT 84097-4435
Phone: (385) 382-1555
Fax: (877) 851-4180

Registry dates

Enumerated: 2022-12-29
Last updated: 2026-02-09
Certified: 2026-02-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.