BRENT BULLARD
NPI 1093121022
Rehabilitation Practitioner in Pasadena, CA

Active since July 10, 2014
940 AVENUE 64, PASADENA, CA 91105(323) 254-2274 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent Bullard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT BULLARD (NPI 1093121022) is an individual rehabilitation practitioner in Pasadena, California and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1093121022
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameBRENT BULLARD
Location Address940 AVENUE 64Pasadena, CA 91105-2711
Mailing Address940 Avenue 64Pasadena, CA 91105-2711 · (323) 254-2274
Sole ProprietorYes
Enumeration DateJuly 10, 2014
Last NPPES UpdateJuly 11, 2014
NPI 1093121022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
940 AVENUE 64, Pasadena, CA 91105

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Student in an Organized Health Care Education/Training Program
940 AVENUE 64
PASADENA, CA 91105
Social Worker
940 AVENUE 64
PASADENA, CA 91105
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Bullard's NPI number?

The NPI number for Brent Bullard is 1093121022. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Brent Bullard located?

Brent Bullard practices at 940 Avenue 64, Pasadena, CA 91105. The listed phone number is (323) 254-2274.

What is Brent Bullard's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Brent Bullard was last updated on July 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.