Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Bullington

Individual provider Physician Assistant · NPI 1841093085

Cody Bullington is a Physician Assistant in Crown Point, Indiana. Qualified in 2024, 2 years ago. Practices with Clarksville Physician Services PC, a 33-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2025
Specialties on file
2

Practice location Address checks out

12750 Saint Francis Dr
Crown Point, IN 46307-0264
Phone: (219) 738-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004800A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1841093085
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Clarksville Physician Services Pc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Crown Point