Elevate HC, LL

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELEVATE HC, LL

Practice address

5207 Heritage Ave
Colleyville, TX 76034-5915

Phone

(817) 355-8000

Fax

(817) 553-2179

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Jeffrey Bullard, MD

Title

Owner

Phone

(817) 355-8000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1013440478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345915",
            "telephone_number": "817-355-8000",
            "fax_number": "817-553-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345915",
            "telephone_number": "817-355-8000",
            "fax_number": "817-553-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HC, LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-355-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiara Eberhardt, LCSW, LCDC
• Uzoaku Kelicha Ebiuwhe
• Pamela S Eckmann, D.C.
• Lasheka L Eddens, BCBA
• Graham Tate Egger, DDS
• Elis Medical Corporation
• Elena Ellazar
• Andre Ellis, D.D.S.
• Embracing Hope Counseling & Family Services PLLC
• Empathy Primary Care Clinic, PLLC

• Family Medicine Physician in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.