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

Mr. Charles Keene Bultman Jr., MS

Individual provider Marriage & Family Therapist · NPI 1265639231

Mr. Charles Keene Bultman Jr., MS is a Marriage and Family Therapist in Concord, California. Qualified in 2007, 19 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2827 Concord Blvd
Concord, CA 94519-2608
Phone: (925) 695-0405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 50904 (CA)

Record details

NPI number1265639231
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESJanuary 3, 2022

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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