MR. BRIAN WADE PULLAM


Address: 4451 Bayou Blvd, Pensacola, FL 32503-2601
Phone: 8504167619

MR. BRIAN WADE PULLAM (NPI# 1770121535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770121535
Entity Type Individual
Full Name MR. BRIAN WADE PULLAM
Other Name MR. BRIAN PULLAM
Practice Address 4451 Bayou Blvd
Pensacola
FL 32503-2601
Mailing Address 4205 Belfort Rd Ste 41015
Jacksonville
FL 32216-1471
Practice Telephone 8504167619
Practice Fax Number 8504167753
Mailing Telephone 9044506014
Mailing Fax Number 9044506401
Enumeration Date 2019-12-11
Last Update Date 2020-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11005354 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
137 Hospital Dr Ne, Fort Walton Beach, FL 325485063 8508337500

Office Location

Street Address 4451 BAYOU BLVD
City PENSACOLA
State FL
Zip Code 32503-2601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821099839 Martha H Sanford Internal Medicine 4451 Bayou Blvd, Pensacola, FL 32503-2601 2005-08-02
1356903215 Noelle J Emmons Nurse Practitioner 4451 Bayou Blvd, Pensacola, FL 32503-2601 2019-07-01
1750940268 Lauren Mary Myers Nurse Practitioner 4451 Bayou Blvd, Pensacola, FL 32503-2601 2019-06-08
1588222814 Itumeleng M Ncube Nurse Practitioner 4451 Bayou Blvd, Pensacola, FL 32503-2601 2019-06-01
1861980724 Clorinda M Baker Nurse Practitioner 4451 Bayou Blvd, Pensacola, FL 32503-2601 2018-04-26
1649786179 Ashley Renee Norwood Nurse Practitioner 4451 Bayou Blvd, Pensacola, FL 32503-2601 2017-12-20
1164931242 Abigail Kathryn Fleischman Nurse Practitioner 4451 Bayou Blvd, Pensacola, FL 32503-2601 2017-09-21
1215383542 Michael Trent Norman Hospitalist 4451 Bayou Blvd, Pensacola, FL 32503 2016-05-05
1689083354 Joseph B. Smith Jr. Speech-Language Pathologist 4451 Bayou Blvd, Pensacola, FL 32503-2601 2014-08-07
1770994451 Holly Jay Day Nurse Practitioner 4451 Bayou Blvd, Pensacola, FL 32503-2601 2014-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134727472 Lauren Barrett Evans Nurse Practitioner 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 2020-10-09
1528666864 Kelsey Christine Kvartek Nurse Practitioner 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 2020-10-09
1730790551 Sacred Heart Hospital of Pensacola Podiatrist 1890 Summit Blvd, Pensacola, FL 32503 2020-08-14
1891312815 Sacred Heart Asc, LLC Clinic/Center 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 2020-06-26
1275011744 Teresa T Jansen Registered Nurse 5051 Carpenters Creek Dr, Pensacola, FL 32503 2018-08-06
1639662729 Florida Physical Therapy Services of Pensacola, LLC Occupational Therapist 428 Airport Blvd, Pensacola, FL 32503 2018-06-13
1922595123 Touch of Love Home Health Care LLC Home Health 139 E Burgess Rd Ste B, Pensacola, FL 32503 2018-04-13
1770012106 Amber Mcclellan Occupational Therapist 4551 North Davis Highway, Suite C, Pensacola, FL 32503 2017-06-08
1780123885 Corinne Georgette-marie Carlson Registered Nurse 6809 White Oak Drive, Pensacola, FL 32503 2017-02-22
1538615232 Kristin E Patton Dietitian, Registered 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 2016-09-01
Find all providers in zip 32503

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174121156 Evangeline Mahima Standridge Nurse Practitioner 7828 Woodpointe Dr, Pensacola, FL 32514-6625 2020-10-13
1902411143 Richard Hutson Nurse Practitioner 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 2020-09-14
1982218202 Sherri Louise Pucillo Nurse Practitioner 1717 N E St Ste 526, Pensacola, FL 32501-6333 2020-09-03
1740893841 Krista Ivana Robinson Nurse Practitioner 5995 Arch Ave, Pensacola, FL 32526-3232 2020-08-28
1578173670 Lalita Combs Nurse Practitioner 6013 Patch Ln, Pensacola, FL 32526-9177 2020-08-04
1053929075 Cynthia Elaine Garay Nurse Practitioner 4270 Langley Ave, Pensacola, FL 32504-8454 2020-07-15
1083254742 Brittany Beasley Perez Nurse Practitioner 543a Fontaine St Ste A, Pensacola, FL 32503-2018 2020-01-10
1912540238 Jeanne Clack Harris Nurse Practitioner 3002 E Jackson St, Pensacola, FL 32503-6437 2019-10-18
1598315608 Lanora Glaze Nurse Practitioner 1645 Elmhurst Rd, Pensacola, FL 32505-1039 2019-09-19
1710547609 Stephanie Evans Nurse Practitioner 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 2019-06-13
Find all providers in PENSACOLA

Competitor

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City PENSACOLA
Zip Code 32503

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Dataset Information

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.

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