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

Dr. John Richard Bulova, MD

Individual provider Surgery Physician · NPI 1134190036

Dr. John Richard Bulova, MD is a Surgery Physician in Queensbury, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

21 Pinion Pine Ln
Queensbury, NY 12804-9012
Phone: (518) 743-9758
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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 120304 (NY)

Record details

NPI number1134190036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 30, 2006
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address21 Pinion Pine Ln, Queensbury, NY 12804-9012

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