Active NPI
Briana Bullard-Thomas, MA CCC-SLP
- Speech-Language Pathologist
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202011156
- Practice address
- 511 Great Park Dr
Newport News, VA 23608-2033 - Phone
- (757) 918-6461
- NPI assigned
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202011156 | VA | Primary |
Addresses
Primary practice location
511 Great Park Dr
Newport News, VA 23608-2033
Mailing address
511 Great Park Dr
Newport News, VA 23608-2033
Phone (757) 918-6461
Other names 1
- Briana Bullard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2405 Fort Eustis Blvd
Yorktown, VA 23692-4163
Phone (757) 898-3746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202011156 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Multi-Specialty | Current | Accepting new patients |
| Hona Medical Group PA | Multi-Specialty | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Multi-Specialty | Current | Accepting new patients |
Locations
6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571
110 Horizon Dr
#310
Raleigh, NC 27615
20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144
3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1629802160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 GREAT PARK DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236082033",
"telephone_number": "757-918-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 GREAT PARK DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236082033",
"telephone_number": "757-918-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLARD-THOMAS",
"first_name": "BRIANA",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-28",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202011156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANA",
"last_name": "BULLARD",
"credential": "MA CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.