NPIMap

Individual provider Active NPI

Tracy Elizabeth Bullard, M.D.

  • Family Medicine Physician
  • Pinehurst, NC
National Provider Identifier
1255334736
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002-01439 Issued in NC
Practice address
150 Ivey Lane
Suite B
Pinehurst, NC 28374-9817
Phone
(910) 215-5210
Fax
(910) 215-5215
NPI assigned
May 27, 2005
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002-01439 NC Primary

Addresses

Primary practice location

150 Ivey Lane
Suite B
Pinehurst, NC 28374-9817

Mailing address

150 Ivey Lane
Suite B
Pinehurst, NC 28374-9817
Phone (910) 215-5210

Other identifiers 1

IdentifierTypeStateIssuer
891368CMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813001060 NC Practitioner - Family Practice 1456324839 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Practice addresses (Care Compare)

150 Ivey LN
Pinehurst, NC 28374-9817
Phone (910) 215-5210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2002-01439NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health System Specialty Group, LLC Family Medicine CurrentSince Dec 10, 2016 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Oct 1, 2016 Accepting new patients
FHPG, LLC Family Medicine Current Accepting new patients
Cape Fear Valley Health System Specialty Group, LLC CurrentSince Dec 10, 2016 Accepting new patients
Cape Fear Valley Health System Specialty Group, LLC Family Medicine Current Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
FHPG, LLC Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
FHPG, LLC Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Oct 1, 2016 Accepting new patients
MCPC-2, LLC CurrentSince Jun 1, 2026 Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Scotland Memorial Hospital, Inc Past Accepting new patients
Scotland Memorial Hospital Inc Past Accepting new patients
FHPG, LLC Family Medicine Past Accepting new patients

Locations

107 E Dunham St
Elizabethtown, NC 28337
Phone (910) 615-3200

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

5523 Waldos Beach Rd
Fayetteville, NC 28306
Phone (910) 615-1888

588 Bailey Rd
Ste K
Lumberton, NC 28358
Phone (910) 739-8899

150 Ivey Ln
Pinehurst, NC 28374
Phone (910) 215-5200

150 Ivey Ln
Ste B
Pinehurst, NC 28374
Phone (910) 215-5210

580 W McLean St
Saint Pauls, NC 28384
Phone (910) 615-3570

103 Marketplace Dr
Ste 102
Sanford, NC 27332
Phone (919) 897-2250

Interoperability endpoints

  • Direct secure messaging: tbullard10264@capefearvalley.direct-ci.com
  • Direct secure messaging: tbullard123357@firsthealth.direct-ci.net

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1255334736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 IVEY LANE",
            "address_2": "SUITE B",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749817",
            "telephone_number": "910-215-5210",
            "fax_number": "910-215-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 IVEY LANE",
            "address_2": "SUITE B",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749817",
            "telephone_number": "910-215-5210",
            "fax_number": "910-215-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2002-01439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891368C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.