JUSTIN ALEXANDER BULLARD (NPI# 1528606126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528606126 |
| Entity Type | Individual |
| Full Name | JUSTIN ALEXANDER BULLARD |
| Credential | ATC, CSCS |
| Practice Address |
750 E King St Lancaster PA 17602-3113 |
| Mailing Address |
2312 New Holland Pike Lancaster PA 17601-5934 |
| Practice Telephone | 7164994516 |
| Mailing Telephone | 7164994516 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| Street Address |
750 E KING ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486414 | Lancaster General Medical Group | Family Medicine | 750 E King St, Lancaster, PA 17602-3113 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396376703 | Courtnee Dooley | Specialist/Technologist | 1565 Warwick Dr, Lancaster, TX 75134-2977 | 2020-02-04 |
| 1154968519 | Anya Holmberg | Specialist/Technologist | 348 Dahlia Rd, Lancaster, PA 17602-4039 | 2019-12-04 |
| 1518425784 | Alicia Burch | Specialist/Technologist | 850 Willow Rd, Lancaster, PA 17601-5737 | 2019-03-06 |
| 1407320815 | Kristina Marie Medinger | Specialist/Technologist | 4290 Tabernacle Rd, Lancaster, SC 29720 | 2019-01-18 |
| 1104319656 | Carlos Jauregui | Specialist/Technologist | 42960 Pearlwood Dr, Lancaster, CA 93536-1118 | 2018-06-10 |
| 1902310675 | Eva Conway | Specialist/Technologist | 1323 Kentucky Ave, Lancaster, TX 75134-1688 | 2017-11-16 |
| 1255858940 | Adam Haggerty | Specialist/Technologist | 1312 Granville Pike, Lancaster, OH 43130-1033 | 2017-08-24 |
| 1023479680 | Miranda North | Specialist/Technologist | 770 S Ewing St, Lancaster, OH 43130-9405 | 2016-03-10 |
| 1881053759 | Kathryn Grace Thomas | Specialist/Technologist | 3 Stayman Dr, Lancaster, PA 17602-1649 | 2016-02-19 |
| 1326411372 | Evolution Power Yoga | Specialist/Technologist | 501 Harrisburg Avenue, Lancaster, PA 17603 | 2015-11-12 |
| Find all providers in LANCASTER | ||||
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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.