Individual provider

Grant Bullock

Psychiatry Physician Medicare enrolled

Grant Bullock is a Psychiatry Physician in Las Vegas, NV, registered under NPI 1174086391.

Getting there

The practice address on file is 4029 DEAN MARTIN DR, Las Vegas, NV 89103. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4029 DEAN MARTIN DR, Las Vegas, NV 89103 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DO3385 NV Psychiatry Physician primary

This provider holds licence DO3385 issued in NV. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Psychiatry
PAC ID
9032444120

Enrolled in Medicare 16 times, across 16 states:

StateEnrollment IDProvider type
Nevada I20230717001897 Practitioner - Psychiatry
Arizona I20240816001286 Practitioner - Psychiatry
Washington I20241014001061 Practitioner - Psychiatry
Illinois I20241024004015 Practitioner - Psychiatry
Kentucky I20241203003492 Practitioner - Psychiatry
Oklahoma I20241203004616 Practitioner - Psychiatry
Mississippi I20250102003765 Practitioner - Psychiatry
South Dakota I20250113003584 Practitioner - Psychiatry
Michigan I20250304000741 Practitioner - Psychiatry
Tennessee I20250409003408 Practitioner - Psychiatry
Vermont I20250410001692 Practitioner - Psychiatry
District of Columbia I20250415003300 Practitioner - Psychiatry
Wyoming I20250418001090 Practitioner - Psychiatry
Alabama I20250519003430 Practitioner - Psychiatry
Montana I20250627001272 Practitioner - Psychiatry
Kansas I20250923001174 Practitioner - Psychiatry

Medicare enrolment is recorded as approved under the provider type Practitioner - Psychiatry. There are 16 separate enrolment records across 16 states (NV, AZ, WA, IL, KY, OK, MS, SD, MI, TN, VT, DC, WY, AL, MT, KS). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatry covers

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. NUCC Health Care Provider Taxonomy, code 2084P0800X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1174086391 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 14, 2019
Last updatedFeb 26, 2025
StatusActive
Sole proprietorNo
Practice address 4029 DEAN MARTIN DR
Las Vegas, NV 89103
(702) 848-2256
Mailing address 3014 W CHARLESTON BLVD STE 130
Las Vegas, NV 89102
This record was updated on Feb 26, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1174086391 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 0 8 6 3 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 0 8 3 3 9

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174086391?
NPI 1174086391 is the National Provider Identifier assigned to Grant Bullock in Las Vegas, NV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatry cover?
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of…
How do I contact Grant Bullock?
The phone number on file with NPPES is (702) 848-2256, last updated Feb 26, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Grant Bullock accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1174086391 a valid number?
Yes. 1174086391 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.