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

Dr. Mark J Tullman, MD

Individual provider Neurology Physician · NPI 1629082375

Dr. Mark J Tullman, MD is a Neurology in Saint Louis, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Missouri and New York.

Years since qualifying
29
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3009 N Ballas Rd Ste 207B
Saint Louis, MO 63131-2322
Phone: (314) 996-7960
Fax: (314) 989-0235
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 2011013368 (MO)
Neurology Physician Taxonomy 2084N0400X · Licence 215887-1 (NY)

Record details

NPI number1629082375
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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