Organization Active NPI

Yvonne Bullard MD PA

  • Gynecology Physician
  • Panama City, FL
National Provider Identifier
1841504875
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME0053167 Issued in FL
Legal business name
YVONNE BULLARD MD PA
Practice address
801 E 6TH St Ste 606
Panama City, FL 32401-3645
Phone
(850) 785-2229
Fax
(850) 785-1806
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Yvonne Bullard, MD
Title
Physician
Phone
(850) 785-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X ME0053167 FL Primary

Addresses

Primary practice location

801 E 6TH St Ste 606
Panama City, FL 32401-3645

Mailing address

801 E 6TH St Ste 606
Panama City, FL 32401-3645
Phone (850) 785-2229

Other identifiers 1

IdentifierTypeStateIssuer
077932680MedicaidFL

National Provider Directory

National Provider Directory

Locations

801 E 6th St
Ste 606
Panama City, FL 32401
Phone (850) 785-2229

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1841504875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 6TH ST STE 606",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013645",
            "telephone_number": "850-785-2229",
            "fax_number": "850-785-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 6TH ST STE 606",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013645",
            "telephone_number": "850-785-2229",
            "fax_number": "850-785-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNE BULLARD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-785-2229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME0053167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077932680",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.