DR. ROBERT EUGENE BULLARD JR. (NPI# 1053371104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053371104 |
| Entity Type | Individual |
| Full Name | DR. ROBERT EUGENE BULLARD JR. |
| Credential | MD |
| Practice Address |
214 S 2nd St Hartsville SC 29550-4304 |
| Mailing Address |
Po Box 1437 Hartsville SC 29551-1437 |
| Practice Telephone | 8433332260 |
| Practice Fax Number | 8438574406 |
| Mailing Telephone | 8433322605 |
| Mailing Fax Number | 8438574406 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11922 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 119222 | 05 | |
| SC | RAILROAD MEDICARE PTAN | P00906614 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 129 N Washington St, Sumter, SC 291504949 | 8037749680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770038614 | Robert Ted Lewis Bullard | Licensed Practical Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2016-08-21 |
| 1952354755 | Robert Lee Bullard | Physician Assistant | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2006-05-19 |
| Street Address |
214 S 2ND ST |
| City | HARTSVILLE |
| State | SC |
| Zip Code | 29550-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356648182 | Hartsville Diagnostic Associates Pa | Internal Medicine | 214 S 2nd St, Hartsville, SC 29550-4304 | 2011-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| 1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| Find all providers in zip 29550 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679606867 | Cecilia D Aduako | Internal Medicine | 701 Medical Park Dr Ste 304, Hartsville, SC 29550-4779 | 2007-03-14 |
| 1285683490 | Aubrey A. Lamptey | Internal Medicine | 502 Church St, Hartsville, TN 37074-1744 | 2006-05-08 |
| 1043566573 | Carolina Nephrology and Endocrinology, PC | Internal Medicine | 1015 S 4th St, Hartsville, SC 29550-5791 | 2012-08-02 |
| 1356648182 | Hartsville Diagnostic Associates Pa | Internal Medicine | 214 S 2nd St, Hartsville, SC 29550-4304 | 2011-02-14 |
| 1497911432 | Novant Medical Group, Inc. | Internal Medicine | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2008-07-30 |
| 1205092244 | Novant Medical Group, Inc. | Internal Medicine | 701 Medical Park Dr, Suite 301, Hartsville, SC 29550-4777 | 2008-07-30 |
| 1730381252 | Samuel Kofi Osei Okoh | Internal Medicine | 701 Medical Park Dr, Suite 208, Hartsville, SC 29550-4777 | 2007-06-05 |
| 1073533352 | Zsolt Peter Ori | Internal Medicine | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2006-07-20 |
| 1225060833 | Susan D Reynolds | Internal Medicine | 701 Medical Park Dr, Suite 304, Hartsville, SC 29550-4777 | 2006-07-06 |
| 1699707281 | Raymond M Chapman | Internal Medicine | 701 Medical Park Dr, Suite 304, Hartsville, SC 29550-4777 | 2006-07-06 |
| Find all providers in HARTSVILLE | ||||
| City | HARTSVILLE |
| Zip Code | 29550 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.