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

Dr. Jack Kevin Bullis, MD

Individual provider Surgery Physician · NPI 1043069651

Dr. Jack Kevin Bullis, MD is a Surgery Physician in Iowa City, Iowa. Licensed in Iowa. Registered with an NPI since 2024.

Licensed in
IA
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (319) 356-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence R-13133 (IA)

Record details

NPI number1043069651
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

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