Gary Bullard, PA-C

Individual Active
NPI 1831165638
Medical Physician Assistant Niceville, FL

NPI 1831165638 belongs to Gary Bullard, PA-C, a medical physician assistant with a practice location in Niceville, FL. The NPI was issued on February 23, 2006, and the record was last updated in NPPES on January 6, 2021. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA9104382 (FL)
Medical Physician Assistant 363AM0700X 0010-00280 (NC)

Practice location

4566 E Highway 20 Ste 105
Niceville, FL 32578-8839
Phone: (850) 279-4543

Local context

Active NPPES records list 43 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 23 of them within 10 miles.

The same primary taxonomy is listed by 2,876 in Florida and 40,076 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Gary Phillip Bullard
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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