Cecil H Bullard, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G33803 Issued in CA

Practice address

4770 W Herndon Ave
Fresno, CA 93722-8402

Phone

(559) 271-6365

Fax

(559) 271-6326

NPI assigned

May 23, 2006

Last updated

Dec 6, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Physicians Medical Group

  • Legal Medicine
  • Fresno, CA
  • NPI 1013983113
  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1407801046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228402",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228402",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "CECIL",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G33803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G338030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Building Bridges Family Counseling, Inc.
• Gisel Buitrago
• Buker Colson Medicine Chest
• Timothy Bulger
• Bullard Dental Group
• Andrea Bullock, LVN
• Leslie Ellen Bullock, MSW, LCSW
• Maribel Magallanes Bumpers
• Evan P Bundy
• Jordan Christian Bundy

• Internal Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.