MR. RYAN BULLARD LCSW, BCD, PMH-C
NPI 1265072326
Social Worker - Clinical in Crestview, FL

Q: What is Ryan Bullard's NPI number?

The NPI number for Ryan Bullard is 1265072326. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Q: What is Ryan Bullard's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Bullard was last updated on February 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 07, 2020PECOS Enrolled

128 JOHN KING RD STE 18, CRESTVIEW, FL 32539(850) 347-5457(850) 779-3117 Get Directions Write a Review

NPPES record last updated: February 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2023, Jun 30, 2021, May 21, 2021 and 2 more (5 updates tracked since 2020).

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About Mr. Ryan Bullard Lcsw, Bcd, Pmh-c NPPES

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

MR. RYAN BULLARD LCSW, BCD, PMH-C (NPI 1265072326) is an individual clinical provider in Crestview, Florida, licensed in (SW16948) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265072326

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. RYAN BULLARDCredential: LCSW, BCD, PMH-C

Location Address128 JOHN KING RD STE 18Crestview, FL 32539-5731

Mailing Address128 John King Rd Ste 18Crestview, FL 32539-5731 · (850) 347-5457 · Fax (850) 779-3117

Phone(850) 347-5457

Fax(850) 779-3117

Sole ProprietorNo

Enumeration DateJanuary 7, 2020

Last NPPES UpdateFebruary 26, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2023

✔ NPI 1265072326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed · SW16948

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License SW16948

128 JOHN KING RD STE 18, Crestview, FL 32539

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ryan Bullard Lcsw, Bcd, Pmh-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

KATHRYN N PARKER RBT

Behavior Technician