KELLY BULLARD DO
NPI 1831726975
Family Medicine in Fayetteville, NC

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
413 OWEN DR STE 201, FAYETTEVILLE, NC 28304(910) 323-9111 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2026, Mar 26, 2020 (2 updates tracked since 2020).

About Kelly Bullard Do NPPES

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

KELLY BULLARD DO (NPI 1831726975) is an individual family medicine provider in Fayetteville, North Carolina, licensed in North Carolina (2023-01949) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2020).

NPPES Registry Identity

NPI1831726975
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY BULLARDCredential: DO
Location Address413 OWEN DR STE 201Fayetteville, NC 28304-3490
Mailing Address413 Owen Dr Ste 201Fayetteville, NC 28304-3490 · (910) 323-9111
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1831726975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2023-01949
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
413 OWEN DR STE 201, Fayetteville, NC 28304

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Bullard Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214359868
PECOS Enrollment IDI20240306000836
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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 2

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

Family Medicine
413 OWEN DR STE 201
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
413 OWEN DR STE 201
FAYETTEVILLE, NC 28304

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 Kelly Bullard's NPI number?

The NPI number for Kelly Bullard is 1831726975. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Kelly Bullard located?

Kelly Bullard practices at 413 Owen Dr Ste 201, Fayetteville, NC 28304. The listed phone number is (910) 323-9111.

What is Kelly Bullard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Bullard enrolled in Medicare?

Yes. Kelly Bullard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Bullard accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kelly Bullard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Bullard affiliated with any hospitals?

According to CMS data, Kelly Bullard is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Bullard was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.