DR. JEFFREY M BULLARD (MD) – Family Medicine Physician, NPI 1902855687

DR. JEFFREY M BULLARD (MD) is a healthcare provider. based in Colleyville, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. K0654 (TX). The NPI Number for DR. JEFFREY M BULLARD (MD) is 1902855687

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY M BULLARD (MD)
NPI
1902855687
Phone
(817) 355-8000
Address
5207 HERITAGE AVE
Enumeration Date
9 May 2006
Last Update Date
20 January 2020

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8173558000
Graduation Year
1993 (33 years ago)
PAC ID
3678514536
Group Practice PAC ID
9133160088
Professional Enrollment ID
I20100208000813
Address ID
TX760345915CO5207XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

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Provider Addresses for DR. JEFFREY M BULLARD (MD)

  • 5207, Heritage Avenue, Colleyville, Tarrant County, Texas, 76034, United States

    COLLEYVILLE, TX 760345915

    Phone: (817) 355-8000

    Fax: (817) 391-1070

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Abbott Laboratories ($37).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100208000813IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 76034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133160088View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineTX
Nurse PractitionerTX
C H I R O P R A C T I CTX
-OH
Family PracticeTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantFL
Family PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JEFFREY M BULLARD (MD)?
DR. JEFFREY M BULLARD (MD) — NPI 1902855687 — is the standard way to identify this listing.
Is DR. JEFFREY M BULLARD (MD) listed as active for patients and plans?
The listing shows DR. JEFFREY M BULLARD (MD) as active in the NPI system.
What healthcare role does DR. JEFFREY M BULLARD (MD) hold?
Scheduling teams often label DR. JEFFREY M BULLARD (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JEFFREY M BULLARD (MD) list a practice location?
Patients near Colleyville, Texas may find DR. JEFFREY M BULLARD (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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