MR. EDWARD MICHAEL BULLARD RPA C NPI 1386662666

NPI Information

NPI: 1386662666
Provider Name: MR. EDWARD MICHAEL BULLARD, RPA C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2212 PENFIELD RD
SUITE 200
PENFIELD, NY
ZIP 14526
Phone: (585) 598-8555
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MR. Edward Michael Bullard, RPA C is a medical physician assistant in Penfield, NY. MR. Edward Michael Bullard, RPA C NPI is 1386662666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2212 PENFIELD RD
SUITE 200
PENFIELD, NY
ZIP 14526-756
Phone: (585) 598-8555
Fax: (585) 388-1483

The enumeration date for this NPI number is 7/17/2006 and was last updated on 1/7/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	23008844	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P68124	MEDICARE UPIN	NEW YORK
2	02347611	MEDICAID	NEW YORK
3	PA2036	MEDICARE PIN	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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