Brittany Bullard
Individual provider Active NPI Family Nurse Practitioner · Westfield, IN
NPI 1124577960 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1124577960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71006544A (IN)
- Practice address
- 3825 Crest Point Dr
Westfield, IN 46062-6541 - Phone
- (574) 516-7630
- NPI assigned
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161012001860 | IN | Practitioner - Nurse Practitioner | 7618265398 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71006544A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Mindfit Counseling | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
3545 W 86th St
Indianapolis, IN 46268
Phone (317) 228-0419
9669 E 146th St
Ste 100
Noblesville, IN 46060
Phone (317) 621-3434
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71006544A | IN | Yes |
Addresses
Primary practice location
3825 Crest Point Dr
Westfield, IN 46062-6541
Mailing address
3825 Crest Point Dr
Westfield, IN 46062-6541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201392930 | Medicaid | IN |
Other providers in Westfield, IN
- Abigail Lynne Brinker
- Ashley Britton
- Kaylee Makenna Brown
- Courtney A Browne
- Bryce B. Buente
- Bumble Kids Pediatric Dentistry, LLC
- Steven James Burch
- Sarah S Burks
- Melinda Laura Burris
- Ruby Christina Burris
All providers in Westfield, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.