Debra Barnita Bullard-Berent, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD2004-0684 Issued in NM

Practice address

1111 San Rafael Ave NE
Albuquerque, NM 87122-1118

Phone

(505) 797-8633

Fax

(505) 797-8633

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871537712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SAN RAFAEL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221118",
            "telephone_number": "505-797-8633",
            "fax_number": "505-797-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SAN RAFAEL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221118",
            "telephone_number": "505-797-8633",
            "fax_number": "505-797-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD-BERENT",
        "first_name": "DEBRA",
        "middle_name": "BARNITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "MD2004-0684",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A77947",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301074829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mihaela Bujoi, MD
• Tilda Kimura Bulanon-Chavez
• Rebecca Bulgrin, M.ED., CCC-SLP
• Melissa Bulkley
• Kenneth Harold Bull, M.D.
• Megan Bullard, PHARMD
• Blair Michael Bullinger, MMT, NTS
• Alisa Victoria Bullock
• Carletta Sarah Bullock, M.D.
• Rene Alejandro Bulnes Vides, MD

• Anesthesiology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Anesthesiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.