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

Dr. Ian Thomas Pulliam, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1245262682

Dr. Ian Thomas Pulliam, DO is a Family Practice in Tracy, California. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 1993, 33 years ago. Practices with Premier Urgent Care a Professional Medical Corporation, a 2-clinician group and offers telehealth. Licensed in California.

Years since qualifying
33
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

644 W 12th St
Tracy, CA 95376-3437
Phone: (209) 832-8984
Fax: (209) 832-8988
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A7496 (CA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 20A7496 (CA)

Record details

NPI number1245262682
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESMarch 21, 2011
Mailing address644 W 12th St, Tracy, CA 95376-3437

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 1993 (33 years in practice)
Group practice Premier Urgent Care A Professional Medical Corporation — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services