Provided are a vulcanization device for a pneumatic tire and a method for vulcanizing a pneumatic tire. A pressurizing medium having a relatively low pressure is supplied through a pressurizing medium low-pressurization/supply line into a vulcanization bladder having a tube-like shape inserted into a green tire in a vulcanization mold to inflate the vulcanization bladder. Thereafter, a heating medium is supplied through a heating medium supply line into the vulcanization bladder (2). Then, a pressurizing medium having a relatively high pressure is supplied through a pressurizing medium supply line into the vulcanization bladder to increase internal pressure of the vulcanization bladder while the media in the vulcanization bladder are circulated through a circulation line extending outside the vulcanization bladder, thereby vulcanizing the green tire.