John Christopher Bullard, SAS/CPSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

510 E Carolina Ave
Hartsville, SC 29550-4396

Phone

(843) 332-4156

NPI assigned

Feb 22, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1487300133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2076",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295512076",
            "telephone_number": "843-332-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504396",
            "telephone_number": "843-332-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "credential": "SAS/CPSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Jean Bruce, LPN
• Valarian An-Tawn Bruce, MD
• John F Bryan Jr., D.C.
• Meredith Sanderson Bryant, PHARMD
• Solomon Budhram, M.D.
• Robert Eugene Bullard Jr., MD
• Ashley Nicole Bunn, HAS 0728
• David R. Buttles, RPH
• Jimmy Byrd, PTA
• Laura Byrd, PHARMD

• All providers in Hartsville, SC
• Peer Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.