Benjamin S Bullard, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH9513 Issued in AL

Practice address

183 Main St Ste D
Trussville, AL 35173-1496

Phone

(205) 655-1009

Fax

(205) 655-1264

NPI assigned

Aug 8, 2019

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

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ew Motion Therapy Meadowbrook LLCGroup PAC ID 3678966553, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Ew Motion Therapy Meadowbrook LLC

  • Physical Therapist
  • Hoover, AL
  • NPI 1407512114
  Medicare reassignment Care Compare group NPD
• Ew Motion Therapy Trussville LLC

  • Physical Therapist
  • Trussville, AL
  • NPI 1063735223
  Medicare reassignment NPD

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1558916262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR STE 217",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232674",
            "telephone_number": "205-263-2770",
            "fax_number": "205-263-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 MAIN ST STE D",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731496",
            "telephone_number": "205-655-1009",
            "fax_number": "205-655-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "BENJAMIN",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Michael Brooks Jr., DMD, MS
• Brown Horn Solutions LLC
• Mary P Brown, PT
• Brett Stanley Bruce, DMD
• Sarah Bui, OD
• Jordyn Burgess
• Kristie M Burke, RN
• Ronda Phillips Bush, NP
• Julie Cadena, MS, LPC
• Suzanne Allison Cantley, CRNP, CDE

• Physical Therapist in Trussville, AL
• Providers in Trussville, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.