National Provider Identifier

Kent Bullis, MD

Kent Bullis, MD is listed in the NPPES registry with a primary specialty of Adolescent Medicine (Family Medicine) Physician in Ithaca, NY and a listed phone number of (607) 255-5155.

NPI 1710079736Ithaca, NYAdolescent Medicine (Family Medicine) Physician

Source: public NPPES record, last updated September 26, 2013. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1710079736
Provider Type
Individual
Primary Specialty
Adolescent Medicine (Family Medicine) Physician
Enumeration Date
September 28, 2006
Last Updated
September 26, 2013

Practice Location

  • 110 Ho Plz
  • Ithaca, NY 14853-3102

Phone: (607) 255-5155

Specialties

  • Adolescent Medicine (Family Medicine) Physician (207QA0000X)

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Biography

Kent Bullis, MD, is a physician at Cornell Health in Ithaca, where he returned to clinical practice after serving as the organization’s executive director from 2017 to 2019, following earlier leadership roles as interim executive director and medical director. Weill Cornell Medicine lists him as an instructor of family medicine in clinical medicine. (health.cornell.edu)

He earned his MD from Indiana University School of Medicine and completed a family medicine residency at Ball Memorial Hospital in 1987. Public Cornell materials describe a career that began in primary care before shifting into college health in 2001, along with service in regional and national college health organizations. (health.cornell.edu)

Full Record
NPI
1710079736
Entity Type
Individual
Last Name
Bullis
First Name
Kent
Name Prefix
Dr.
Credential
MD
Mailing Street Address
110 Ho Plz
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14853-3102
Mailing Country
US
Practice Street Address
110 Ho Plz
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14853-3102
Practice Country
US
Practice Phone
(607) 255-5155
Enumeration Date
September 28, 2006
Last Updated
September 26, 2013
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adolescent Medicine (Family Medicine) Physician (207QA0000X)