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

Randy A Bullock, APRNWPPSUB

Individual provider Nurse Practitioner · NPI 1528099231

Randy A Bullock, APRNWPPSUB is a Nurse Practitioner in Ogden, Utah. Qualified in 2001, 25 years ago. Practices with Weber Human Services, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
25
Licensed in
UT
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

237 26th St
Ogden, UT 84401-3105
Phone: (801) 625-3605
Fax: (801) 625-3615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1996264405 (UT)
Nurse Practitioner Taxonomy 363L00000X · Licence 8900CS (UT)

Record details

NPI number1528099231
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNWPPSUB
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address237 26th St, Ogden, UT 84401-3105

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Weber Human Services — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ogden