Molly Beth Bullard, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

216013 Issued in OK

Practice address

1664 S Choctaw Rd
Choctaw, OK 73020-6766

Phone

(405) 963-3195

NPI assigned

Oct 2, 2024

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Molly Harris Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Immediate Care of Oklahoma LLC

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1164697694
  Medicare reassignment Care Compare group NPD
• Immediate Care of Oklahoma

  • Urgent Care Clinic/Center
  • Choctaw, OK
  • NPI 1881448710
  NPD
• Immediate Care of Oklahoma, LLC

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1780239202
  NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1952129397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 7TH ST",
            "city": "ARCADIA",
            "state": "OK",
            "postal_code": "730079136",
            "telephone_number": "405-693-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S CHOCTAW RD",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730206766",
            "telephone_number": "405-963-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "MOLLY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "216013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "HARRIS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• L Scott Brewer
• Bailey Brooks, BABHP
• Samantha Lyne Brown
• Bruce a. Stafford, DO, PC
• Roger Lynn Bryant, D.D.S.
• Edna Lea Campbell, LPC-S
• Maria Caram, MS, BCBA
• Stephanie Michelle Cargo, RD/LD CNSC
• Sabre Carlile
• Cary Lee Carpenter, M.D.

• Nurse Practitioner in Choctaw, OK
• Providers in Choctaw, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.