Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Samuel William Bullick, DO

Individual provider Internal Medicine Physician · NPI 1386904662

Samuel William Bullick, DO is registered under Pulmonary Disease in Portland, Oregon. Qualified in 2012, 14 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1015 NW 22nd Ave
Portland, OR 97210-3025
Phone: (503) 413-8407
Fax: (503) 413-6951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4150 V St Ste 3400, Sacramento, CA 95817-1460 — (916) 734-4597
  • 4150 V St Ste 3400, Sacramento, CA 95817-1460 — (916) 734-4597

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence DO188659 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence LL158520 (OR)

Record details

NPI number1386904662
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 21, 2012
Last updated in NPPESSeptember 5, 2018

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients126
Services billed 406 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Legacy Clinics LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 718 clinicians in the practice; 12 are shown here.

Other providers in Portland