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

Richard J Bultman, MD

Individual provider Family Medicine Physician · NPI 1316946189

Richard J Bultman, MD is a Family Practice in Orange Park, Florida. Graduated from University of Michigan Medical School in 1969, 57 years ago. Practices with Memorial Family Practice Associates, LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
57
Trained at
University of Michigan Medical School
Licensed in
FL
In the registry since
2005
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

1594 Kingsley Ave
Orange Park, FL 32073-4546
Phone: (904) 264-8621
Fax: (904) 215-9418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME017622 (FL)

Record details

NPI number1316946189
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESFebruary 1, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1969 (57 years in practice)
Group practice Memorial Family Practice Associates, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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