MR. GARY PHILLIP BULLARD (PA-C) – Medical Physician Assistant, NPI 1831165638

Medical Physician Assistant

MR. GARY PHILLIP BULLARD (PA-C) is a healthcare provider. based in Niceville, Florida. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 0010-00280 (NC). The NPI Number for MR. GARY PHILLIP BULLARD (PA-C) is 1831165638

Main info

Male

Sole Proprietor

29 Years Of Experience

Accepts Medicare Assignment

Name

MR. GARY PHILLIP BULLARD (PA-C)

NPI

1831165638

Phone

(850) 279-4543

Address

4566 E HIGHWAY 20 STE 105

Enumeration Date

23 February 2006

Last Update Date

6 January 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8502794543

Graduation Year

1997 (29 years ago)

PAC ID

7012903487

Group Practice PAC ID

1254672140

Professional Enrollment ID

I20110208000692

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience73

Completeness75

Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for MR. GARY PHILLIP BULLARD (PA-C)

4566 E HIGHWAY 20 STE 105
NICEVILLE, FL 325788839
Phone: (850) 279-4543
Fax: (850) 279-4827
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32578)

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Provider's Procedures

MR. GARY PHILLIP BULLARD (PA-C) performs procedures in Medical Physician Assistant. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PHYSICIAN ASSISTANT	FL	95004	Injection of allergenic extracts into skin, accessed through the skin	675	13

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Frequently asked questions

Can I use this page to confirm MR. GARY PHILLIP BULLARD (PA-C)'s NPI?

Yes. MR. GARY PHILLIP BULLARD (PA-C) is listed with NPI 1831165638 in the public NPI dataset.

Does the file indicate MR. GARY PHILLIP BULLARD (PA-C) is practicing under active NPI?

Directory data currently reports MR. GARY PHILLIP BULLARD (PA-C) as active.

What is MR. GARY PHILLIP BULLARD (PA-C)'s primary classification?

Medical Physician Assistant is the headline specialty for MR. GARY PHILLIP BULLARD (PA-C) here. Clinical services aligned with this taxonomy classification.

What address line appears for MR. GARY PHILLIP BULLARD (PA-C)?

MR. GARY PHILLIP BULLARD (PA-C)'s geographic hint is Niceville, Florida in our summary view.

Why does MR. GARY PHILLIP BULLARD (PA-C) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.