Active NPI
Steven R. Bullard, M.D., P.C.
- Ophthalmology Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101052853
- Legal business name
- STEVEN R. BULLARD, M.D., P.C.
- Practice address
- 2865 Duke St
Alexandria, VA 22314-4512 - Phone
- (703) 370-2455
- Fax
- (703) 461-7887
- NPI assigned
- May 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Redding Bullard, M.D.
- Title
- President
- Phone
- (703) 370-2455
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101052853 | VA | Primary |
Addresses
Primary practice location
2865 Duke St
Alexandria, VA 22314-4512
Mailing address
2865 Duke St
Alexandria, VA 22314-4512
Phone (703) 370-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
44121 Leesburg Pike
Ste 205
Ashburn, VA 20147
Phone (703) 370-2455
5204A Rolling Rd
Burke, VA 22015
Phone (703) 425-2000
3020 Hamaker Ct
Ste B103
Fairfax, VA 22031
Phone (703) 370-2455
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284336000000",
"number": "1336350552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 DUKE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144512",
"telephone_number": "703-370-2455",
"fax_number": "703-461-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 DUKE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144512",
"telephone_number": "703-370-2455",
"fax_number": "703-461-7887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN R. BULLARD, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-28",
"last_updated": "2010-09-13",
"status": "A",
"authorized_official_last_name": "BULLARD",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "REDDING",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-370-2455",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101052853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.