Cullen Christopher Bullard, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2292 Issued in AR

Practice address

105 McNeil St
Benton, AR 72015-3345

Phone

(501) 315-0984

NPI assigned

Mar 20, 2012

Sex

Male

Sole proprietor

No

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 AR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saline Orthopedic Group P aGroup PAC ID 7911819479, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saline Orthopedic Group P a

  • Orthopaedic Surgery Physician
  • Benton, AR
  • NPI 1093825002

  AR

  Medicare reassignment Care Compare group NPD
• Saline Orthopedic Group P a

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Benton, AR
  • NPI 1588348783
  NPD
• Saline Med-Peds Group, Inc

  • Pediatrics Physician
  • Benton, AR
  • NPI 1396820437
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1154696342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720183250",
            "telephone_number": "501-315-0984",
            "fax_number": "501-847-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MCNEIL ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153345",
            "telephone_number": "501-315-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "CULLEN",
        "middle_name": "CHRISTOPHER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Michelle Bryant, MHPP
• Jill Jaggers Bryson, M.D.
• Katie Buchanan, LPN
• Lisa Michelle Buell, PHARMD
• Colby Bukosky
• Nickalus Burchfield, RECOVERY ASSISTANT
• Rebekah Burchfield
• Julie Jo Burger, RN
• Angela Burgest, LPC
• Veronica Burget, RECOVERY ASSISTANT

• All providers in Benton, AR
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.