We didn't find healthcare. We grew up in it.
Since 2017, Think Bullish has been the trusted partner for medical practices seeking predictable growth and operational excellence — not another agency that overpromises and disappears.
As seen on






Zack, the founder, on the left — and his dad, Dr. Wayne, on the right.
How it started
One practice. One promise. Then hundreds more.
Think Bullish began by helping Zack's father grow his practice. The marketing “experts” kept overpromising and under-delivering — so Zack built the system himself.
It worked. Other doctors asked for it. 441+ successful implementations and over $9.1 million in managed advertising spend later, we've perfected the art and science of practice transformation.
We've learned what each message needs to look like — and each call needs to sound like.
From living in the trenches since 2017.






Hard-won experience
125 in-house call center reps hired & fired.
We've booked thousands and thousands of appointments in-house for our clients, and our team carries far vaster experience managing in-house call centers of 300+ active agents. We've learned what medical practices need — and how to do it at scale.
300+ agents managed
Our team has run call centers at a scale most practices never see — we know exactly what breaks and why.
2 full-time QA reps
Reviewing every conversation… and countless things were still missed. Humans don't scale; that's why we built A.I. that doesn't miss.
Thousands of appointments
Booked in-house for clients — the experience behind every script, sequence, and follow-up we run today.
Our mission
We believe in good healthcare — and in handling the business of it, so you can focus on serving patients at the highest level.
That's why we've developed the first system of its kind: A.I.-powered patient communication combined with proven patient-recruitment strategies — eliminating the chaos of managing multiple vendors while delivering consistent, measurable results.
Our bullish leadership
The team behind the system.
Decades of experience in software, artificial intelligence, marketing, and medical practice growth.







What you'll get in a free strategy session
- Learn the real-time opportunities your business might be missing out on
- A custom-built strategy for your business
