John Frank Bullard Jr., M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME19764 Issued in FL

Practice address

2805 Bayou Blvd
Pensacola, FL 32503-4205

Phone

(850) 434-6881

Fax

(850) 434-8999

NPI assigned

Feb 1, 2014

Last updated

Feb 1, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391212800000",
    "number": "1013330687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034205",
            "telephone_number": "850-434-6881",
            "fax_number": "850-434-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034205",
            "telephone_number": "850-434-6881",
            "fax_number": "850-434-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "JOHN",
        "middle_name": "FRANK",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-01",
        "last_updated": "2014-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME19764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Tylor Buhring
• Joanne Louise Bujnoski, D.O.
• Laura Bulger, RPH
• Kenneth L Bull, MD
• Gretchen Bullard
• Leah K. Bullard, PTA
• Savana Caitlin Bullard, OD
• Vanessa Bullard, PA
• Roxanne Nicole Bultron, PTA
• Douglas L Bunting, MD

• Pediatrics Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.