KENNETH PENN BULLARD MD
NPI 1851452296
Plastic Surgery in Charlotte, NC

Q: What is Kenneth Bullard's NPI number?

The NPI number for Kenneth Bullard is 1851452296. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Kenneth Bullard's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Bullard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 12, 2006

1225 CHARTER PLACE, CHARLOTTE, NC 28211(704) 364-2358 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth Penn Bullard Md NPPES

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

KENNETH PENN BULLARD MD (NPI 1851452296) is an individual plastic surgery provider in Charlotte, North Carolina, licensed in North Carolina (15028) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1851452296

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameKENNETH PENN BULLARDCredential: MD

Location Address1225 CHARTER PLACECharlotte, NC 28211-5503

Mailing Address1225 Charter PlaceCharlotte, NC 28211-5503 · (704) 364-2358

Phone(704) 364-2358

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1851452296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in NC · 15028

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1225 CHARTER PLACE, Charlotte, NC 28211

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Other Identifiers 5

Medicare ID-Type Unspecified201454NC

Medicare UPINC80685

Other19723NC · Blue Cross Blue Shield

Medicaid360677SC

Medicaid8919723NC

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 Kenneth Bullard's NPI number?

The NPI number for Kenneth Bullard is 1851452296. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Kenneth Bullard located?

Kenneth Bullard practices at 1225 Charter Place, Charlotte, NC 28211. The listed phone number is (704) 364-2358.

What is Kenneth Bullard's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Kenneth Bullard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.