Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY PHILLIP BULLARD, PA-C
Active Sole ProprietorMR. GARY PHILLIP BULLARD, PA-C is a Medical Physician Assistant healthcare provider located in NICEVILLE, Florida. NPI 1831165638 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · NICEVILLE, FL
Registration Details
- NPI Number
- 1831165638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2006 (20.485264309144 yrs)
- Last Updated
- Jan 6, 2021
- Licenses
-
0010-00280 (NC)PA9104382 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4566 E HIGHWAY 20 STE 105NICEVILLE, FL, 325788839Browse FL providers · Browse ZIP 32578
- Phone
- 8502794543
- Fax
- 8502794827
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in NICEVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| HARRY F JOHNSON | PA-C | 1144260746 |
| MRS. AMY M. DRAB | PA | 1023207891 |
| MRS. RACHEL MARIA REID | PA-C | 1790095479 |
| JESSICA BROOKE RAPA | P.A. | 1760783294 |
| JENNIFER EDWARDS | — | 1487034344 |
| JULIE ANNE AUGUSTINE | PA-C | 1629692439 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.