Robert Ted Lewis Bullard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

65061 Issued in OK

Practice address

1215 NW 25TH St
Oklahoma City, OK 73106-5629

Phone

(405) 525-2525

Fax

(405) 600-3105

NPI assigned

Aug 21, 2016

Last updated

Aug 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1770038614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 NW 25TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065629",
            "telephone_number": "405-525-2525",
            "fax_number": "405-600-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 NW 25TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065629",
            "telephone_number": "405-525-2525",
            "fax_number": "405-600-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "ROBERT",
        "middle_name": "TED LEWIS",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "65061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Bulkley, PHARM.D.
• Danielle Renee Bull, ARNP, NP-C
• Branch Rickey Bullard, MD
• Claire Bullard, PHARM. D.
• Rhonda Denise Bullard
• Sara E Bullard, MS, RD
• Summer Bullard
• Jenna Bullen
• Andrew N. M. Bulley
• Yvonne M Bullion, TRIAGE SPECIALIST

• Licensed Practical Nurse in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.