Individual provider Active NPI

Christy R Bullard, DO

  • Pulmonary Disease Physician
  • Lawton, OK
National Provider Identifier
1497178305
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
05-51206 Issued in KS
Practice address
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone
(580) 355-8620
NPI assigned
Jan 28, 2014
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-10223 AR
Emergency Medicine Physician 207P00000X 5530 OK
Family Medicine Physician 207Q00000X E-10223 AR
Pulmonary Disease Physician 207RP1001X 05-51206 KS Primary

Addresses

Primary practice location

3401 W Gore Blvd
Lawton, OK 73505-6332

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR, KS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161212001728 OK Practitioner - Emergency Medicine 0547585853 Reassigns benefits to 3 organizations
I20170206001965 AR Practitioner - Emergency Medicine 0547585853 Reassigns benefits to 2 organizations
I20250703001290 KS Practitioner - Osteopathic Manipulative Medicine 0547585853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Hospital Partners of OklahomaGroup PAC ID 6800241225, 24 clinicians

Practice addresses (Care Compare)

1500 SW 10H Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (254) 879-4900

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5530OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Healthcare Corporation Current Accepting new patients
Elite Hospital Partners of Oklahoma Emergency Medicine CurrentSince Jan 2, 2024 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Southeast Arkansas Emergency Physicians LLP Emergency Medicine CurrentSince Jul 12, 2020 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jun 26, 2025 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Family Medicine CurrentSince Jun 26, 2025 Accepting new patients
Ehp of Ponca City LLC Emergency Medicine CurrentSince Dec 28, 2024 Accepting new patients
Southeast Arkansas Emergency Physicians LLP Emergency Medicine CurrentSince Jul 12, 2020 Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

4600 Mercy Ln
Springdale, AR 72762
Phone (479) 338-2911

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

200 Corporate Blvd
Lafayette, LA 70508

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

Interoperability endpoints

  • Direct secure messaging: cbullard167967@stormontvaildirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1497178305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-355-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "fax_number": "785-270-4290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "CHRISTY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-10223",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "5530",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-10223",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "05-51206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.