DR. THERESA BULLARD (NPI# 1770689101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770689101 |
| Entity Type | Individual |
| Full Name | DR. THERESA BULLARD |
| Credential | MD |
| Practice Address |
300 W 27th St Lumberton NC 28358-3075 |
| Mailing Address |
450 Country Club Rd Lumberton NC 28360-9494 |
| Practice Telephone | 9102721230 |
| Practice Fax Number | 9107388230 |
| Mailing Telephone | 9102721230 |
| Mailing Fax Number | 9107388230 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
9900782 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
9900782 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BB3212127 | 01 | |
| NC | 8912273 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336327352 | Theresa Elizabeth Bullard | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2008-01-31 |
| Street Address |
300 W 27TH ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498354 | John Davis Hepler | Obstetrics & Gynecology | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-06-21 |
| 1215536610 | Grant Hoffman Joerger | Nurse Anesthetist, Certified Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-19 |
| 1134726797 | Giulia Maria Oliva | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-07 |
| 1952917742 | Jennifer Renee Owen | Nurse Practitioner | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-09-17 |
| 1992328199 | Kristyn Nicole Flynn | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-21 |
| 1619590130 | Gregory Nathaniel Griffin | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1588287023 | Laura Christine James | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1932721735 | Jacob Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-14 |
| 1891317871 | Michael David-phillip Harris | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-12 |
| 1912529900 | Renaud Srivatsav Komandur | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558847434 | Carter Clinic, P A | Psychiatry & Neurology | 2409 N Elm St, Lumberton, NC 28358-3658 | 2018-07-13 |
| 1760887301 | Southeastern Regional Medical Center | Psychiatry & Neurology | 300 W 27th St, Lumberton, NC 28358-3075 | 2014-10-24 |
| 1215298856 | Mandeep Kaur | Psychiatry & Neurology | 300 W 27th St, Southeastern Regional Medical Center, Lumberton, NC 28358-3075 | 2012-05-30 |
| 1225307713 | Southeastern Regional Medical Center | Psychiatry & Neurology | 300 W 27th St, Lumberton, NC 28358-3075 | 2011-12-29 |
| 1013036755 | Cases | Psychiatry & Neurology | 401 E 11th St, Lumberton, NC 28358-4807 | 2007-03-27 |
| 1013047836 | Community Innovations, Inc. | Psychiatry & Neurology | 2003 Godwin Ave, Suite A, Lumberton, NC 28358-3197 | 2007-03-07 |
| 1134225154 | Randall Purdy | Psychiatry & Neurology | 207 W 29th St, Lumberton, NC 28358-2901 | 2006-09-16 |
| 1588760672 | Sid Hosseini | Psychiatry & Neurology | 300 W 27th St, Lumberton, NC 28358-3075 | 2006-09-15 |
| 1952407116 | Susan Fredriksen | Psychiatry & Neurology | 300 W 27th St, Lumberton, NC 28358-3075 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851696 | Cana Psychiatric Health | Psychiatry & Neurology | 1846 E Innovation Park Dr #100, Oro Valley, NC 27502-2750 | 2020-11-04 |
| 1750999876 | Integral Mental Healthcare Pllc | Psychiatry & Neurology | 1105 Walnut St Ste F-16031, Cary, NC 27511-4762 | 2020-07-14 |
| 1740808096 | Best Day Psychiatry and Counseling, PC | Psychiatry & Neurology | 4905 Pine Cone Dr Ste 9, Durham, NC 27707-5258 | 2020-07-13 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1639792245 | Summit Health Psychiatry, PC | Psychiatry & Neurology | 226 Shannon Rd, Hendersonville, NC 28791-8739 | 2020-05-19 |
| 1083240592 | Sabrina Michelle Campbell | Psychiatry & Neurology | 1601 Brenner Ave Bldg 8-1, Salisbury, NC 28144-2515 | 2020-03-16 |
| 1457986416 | Benjamin Boris Brodey | Psychiatry & Neurology | 201 E Rosemary St, Chapel Hill, NC 27514-3529 | 2020-03-10 |
| 1538794276 | Carolina Psychiatry Center, Pllc | Psychiatry & Neurology | 301 Keisler Dr Ste A, Cary, NC 27518-7018 | 2020-03-03 |
| 1568002608 | Avant Medical Consulting Pllc | Psychiatry & Neurology | 109 Rosegarten Ct, New Bern, NC 28562-1016 | 2020-01-07 |
| 1518503994 | Mental Health Associates and Addiction | Psychiatry & Neurology | 1944 Hendersonville Rd # D-1a, Asheville, NC 28803-2351 | 2019-11-21 |
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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.