MR. GARY PHILLIP BULLARD PA-C
NPI 1831165638
Physician Assistant - Medical in Niceville, FL

Q: What is Gary Bullard's NPI number?

The NPI number for Gary Bullard is 1831165638. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Q: What is Gary Bullard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Gary Bullard was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 23, 2006

4566 E HIGHWAY 20 STE 105, NICEVILLE, FL 32578(850) 279-4543(850) 279-4827 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2021, Oct 17, 2018 (2 updates tracked since 2018).

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About Mr. Gary Phillip Bullard Pa-c NPPES

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

MR. GARY PHILLIP BULLARD PA-C (NPI 1831165638) is an individual medical provider in Niceville, Florida, licensed in Florida (PA9104382) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1831165638

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. GARY PHILLIP BULLARDCredential: PA-C

Location Address4566 E HIGHWAY 20 STE 105Niceville, FL 32578-8839

Mailing Address4566 E Highway 20 Ste 105Niceville, FL 32578-8839 · (850) 279-4543 · Fax (850) 279-4827

Phone(850) 279-4543

Fax(850) 279-4827

Sole ProprietorYes

Enumeration DateFebruary 23, 2006

Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2021

✔ NPI 1831165638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in FL · PA9104382✔ Licensed in NC · 0010-00280

4566 E HIGHWAY 20 STE 105, Niceville, FL 32578

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

ACUMEN HEALTH PLLC

Clinic/Center

4566 E HIGHWAY 20 STE 105
NICEVILLE, FL 32578

Okaloosa County (850) 483-3313

MRS. RACHEL LAUREN WHITE APRN

Nurse Practitioner (Primary Care)

4566 E HIGHWAY 20 STE 105
NICEVILLE, FL 32578

Okaloosa County (850) 483-3313

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 Gary Bullard's NPI number?

The NPI number for Gary Bullard is 1831165638. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Gary Bullard located?

Gary Bullard practices at 4566 E Highway 20 Ste 105, Niceville, FL 32578. The listed phone number is (850) 279-4543.

What is Gary Bullard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gary Bullard was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.