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

Dr. Kent Bullis, MD

Individual provider Adolescent Medicine (Family Medicine) Physician · NPI 1710079736

Dr. Kent Bullis, MD is an Adolescent Medicine (Family Medicine) Physician in Ithaca, New York. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
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

110 Ho Plz
Ithaca, NY 14853-3102
Phone: (607) 255-5155
Show map & directions

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

Specialties & licences

Adolescent Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0000X · Licence 1034097 (IN)

Record details

NPI number1710079736
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESSeptember 26, 2013