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

Dr. Timothy C Bullard, MD

Individual provider Emergency Medicine Physician · NPI 1306801766

Dr. Timothy C Bullard, MD is an Emergency Medicine in Marina del Rey, California. Graduated from Indiana University School of Medicine in 1995, 31 years ago. Practices with The Regents of the University of California, a 1,414-clinician group and accepts Medicare assignment. Licensed in California, Indiana and Michigan.

Years since qualifying
31
Trained at
Indiana University School of Medicine
Licensed in
CA, IN, MI
In the registry since
2006
Specialties on file
4
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

4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424
Phone: (108) 273-7003
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 A64738 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A64738 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01051619 (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301082809 (MI)

Record details

NPI number1306801766
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2006
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Marina del Rey