Donald Milton Bullard, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000002695 Issued in TX

Practice address

610 E Clark Blvd
Murfreesboro, TN 37130-2121

Phone

(615) 849-8550

Fax

(615) 849-8447

NPI assigned

Nov 15, 2011

Last updated

Nov 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Scotlyn Group, Inc

  • Physical Therapist
  • Murfreesboro, TN
  • NPI 1407133705
  NPD (past)

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1871870014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 FIVE OAKS BLVD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871353",
            "telephone_number": "615-305-4710",
            "fax_number": "615-453-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302121",
            "telephone_number": "615-849-8550",
            "fax_number": "615-849-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "DONALD",
        "middle_name": "MILTON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "PTA0000002695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Buckner, PHARMD
• Jaqushia Buddie
• Kimber Raikes Buehler, PHARMD
• Cassandra Lynn Buffkin
• Stacey Leigh Buford
• Linda Caroline Bullard
• Lynce Stalnaker Bullard
• Nakisha Bullock, LMSW
• Ashley Bunch
• Elizabeth Bunch

• Physical Therapy Assistant in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.