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.
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)