Nathon Bullard

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1231987 Issued in TX

Practice address

3815 County Road 33900
Powderly, TX 75473-5026

Phone

(903) 227-8081

NPI assigned

Apr 23, 2014

Last updated

Jun 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1386064822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 COUNTY ROAD 33900",
            "city": "POWDERLY",
            "state": "TX",
            "postal_code": "754735026",
            "telephone_number": "903-227-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 COUNTY ROAD 33900",
            "city": "POWDERLY",
            "state": "TX",
            "postal_code": "754735026",
            "telephone_number": "903-227-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "NATHON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1231987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vickie Sue Denelsbeck, MS, LPC
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• Alyssa McCarley
• Paris Speaks, P.L.L.C.

• Physical Therapist in Powderly, TX
• Providers in Powderly, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.