James R M Bullard, DC
Individual provider Active NPI Chiropractor · Sebastian, FL
NPI 1447309869 · NPPES record last updated Nov 20, 2012
Key facts
- NPI
- 1447309869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH0006468 (FL)
- Practice address
- 14110 US Hwy 1
Sebastian, FL 32958 - Phone
- (772) 589-8744
- Fax
- (772) 589-4124
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0006468 | FL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0006468 | FL | Yes |
Addresses
Primary practice location
14110 US Hwy 1
Sebastian, FL 32958
Mailing address
14110 US Hwy 1
Sebastian, FL 32958
Phone (772) 589-8744
Other providers in Sebastian, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.