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

Mr. Grant A Bullock

Individual provider Psychiatry Physician · NPI 1174086391

Mr. Grant A Bullock is a Psychiatry in Las Vegas, Nevada. Graduated from Univ of Nevada, Las Vegas School of Dental Med in 2023, 3 years ago. Practices with Anywhere Clinic LLC, a 33-clinician group, works from 18 locations, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
3
Trained at
Univ of Nevada, Las Vegas School of Dental Med
Licensed in
NV
In the registry since
2019
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Practice location Address checks out

4029 Dean Martin Dr
Las Vegas, NV 89103-4138
Phone: (702) 848-2256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (17)

  • 4 Office Park Cir Ste 317, Mountain Brk, AL 35223-2511 — (702) 848-2256
  • 4578 N 1st Ave Ste 100, Tucson, AZ 85718-5748 — (702) 848-2256
  • 1350 Connecticut Ave Nw Ste 203, Washington, DC 20036-1762 — (702) 848-2256
  • 16109 S Farrell Rd, Lockport, IL 60441-8200 — (702) 848-2256
  • 2333 Alexandria Dr # 112, Lexington, KY 40504-3215 — (702) 848-2256
  • 2535 E Mount Hope Ave, Lansing, MI 48910-1913 — (702) 848-2256
  • 6952 Dogwood Mnr N Ste 104, Olive Branch, MS 38654-2091 — (702) 848-2256
  • 7115 Kentwell Ln, Lincoln, NE 68516-6693 — (702) 848-2256
  • 44 Princeton Ave Ste E, Brick, NJ 08724-3550 — (702) 848-2256
  • 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 — (702) 671-5127
  • 1111 Magnolia Ct Ste 205, Moore, OK 73160-1391 — (702) 848-2256
  • 416 S Dakota St Ste 1, Aberdeen, SD 57401-4615 — (702) 848-2256
  • 2158 Judicial Dr, Germantown, TN 38138-3823 — (702) 848-2256
  • 1120 Nasa Pkwy Ste 225, Houston, TX 77058-3362 — (702) 848-2256
  • 185 Tilley Dr Ste 55, South Burlington, VT 05403-4484 — (702) 848-2256
  • 2800 E Madison St Ste 201, Seattle, WA 98112-4865 — (702) 848-2256
  • 2800 E Madison St Ste 201, Seattle, WA 98112-4865 — (702) 848-2256

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence DO3385 (NV)

Record details

NPI number1174086391
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2019
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIV OF NEVADA, LAS VEGAS SCHOOL OF DENTAL MED
Graduated 2023 (3 years in practice)
Group practice Anywhere Clinic Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations17 on file with Medicare

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