Rickey H. Bullard, DPM, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

80058 Issued in MS

Legal business name

RICKEY H. BULLARD, DPM, LLC

Practice address

1902 W Main St
Tupelo, MS 38801-3228

Phone

(662) 844-4766

Fax

(662) 680-6997

NPI assigned

Mar 10, 2008

Last updated

May 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane M Oakes

Title

Office Manager

Phone

(662) 844-4766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1841460573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013228",
            "telephone_number": "662-844-4766",
            "fax_number": "662-680-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013228",
            "telephone_number": "662-844-4766",
            "fax_number": "662-680-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKEY H. BULLARD, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "OAKES",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-844-4766"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miketra A Richardson
• Neidre Necole Richardson
• Sadarian Richardson
• Ariyana Richey
• Janet Richey, CFNP
• Stacy Ricks
• Stacy Austin Ricks
• Kris Riddle, LPC
• Cathy Lynn Riley, R.PH.
• James Rish, MD

• Podiatrist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.