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TRISHA MAE BULLARD PA-C PTA NPI 1114333093


NPI Information

NPI: 1114333093
Provider Name: TRISHA MAE BULLARD, PA-C, PTA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1315 HOSPITAL DR
ST JOHNSBURY, VT
ZIP 05819
Phone: (802) 748-8141
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Trisha Mae Bullard, PA-C, PTA is a surgical physician assistant in St Johnsbury, VT with 6 years of experience. Trisha Mae Bullard, PA-C, PTA NPI is 1114333093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1315 HOSPITAL DR
ST JOHNSBURY, VT
ZIP 05819
Phone: (802) 748-8141

The NPI 1114333093 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2014 and was last updated on 11/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225200000XPhysical Therapy Assistant1054NEW HAMPSHIRENo
2363AS0400XPhysician AssistantSurgical055.0031399VERMONTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.