Russell Bullen, DMD
NPI 1639512015ActiveIndividual· Dentist· Pueblo, CO
Dentist (DMD) in Pueblo, Colorado, licensed in CO, with an NPI issued in April 2013. Part D covered 82 prescriptions written in 2024, 100% of them generic. Straumann USA LLC reported $800.00 in payments in 2024, mostly education.
Overview
| NPI | 1639512015 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | Apr 16, 2013 |
| Last updated in NPPES | Dec 3, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 00203038 | CO |
| Dentist, General Practice | 1223G0001X | 00203038 | CO |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 82 · 86 30-day fills |
|---|---|
| Patients | 56 |
| Total drug cost | $344.18 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$800.00 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $800.00 | 2 |
What the 2024 payments were for
- Education$800.00 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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