FRED BULLARD


Address: 669 Agency Main St, Harlem, MT 59526-9455
Phone: 4063533100

FRED BULLARD (NPI# 1811260383) 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) 1811260383
Entity Type Individual
Full Name FRED BULLARD
Credential MT
Practice Address 669 Agency Main St
Harlem
MT 59526-9455
Practice Telephone 4063533100
Practice Fax Number 4063533229
Mailing Telephone 4063533100
Mailing Fax Number 4063533229
Enumeration Date 2012-02-14
Last Update Date 2012-02-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RM2200X Technician, Pathology
Specialization: Medical Laboratory
1392 MT Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT LICENSE 1392 01

Office Location

Street Address 669 AGENCY MAIN ST
City HARLEM
State MT
Zip Code 59526-9455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093782773 Brigid Q Morgan Physician Assistant 669 Agency Main St, Fort Belknap Health Clinic, Harlem, MT 59526 2006-03-02
1588274575 Patricia Heide Registered Nurse 669 Agency Main St, Harlem, MT 59526-9455 2020-08-04
1033678412 Michael J Moore Dental Hygienist 669 Agency Main St, Harlem, MT 59526-9455 2019-03-15
1124582515 Lisa Marie Roseman Dentist 669 Agency Main St, Harlem, MT 59526-9455 2019-01-30
1104392570 Sandy Filesteel Registered Nurse 669 Agency Main St, Harlem, MT 59526-9455 2018-10-23
1912438870 Ijeoma C Uzoho Pharmacist 669 Agency Main St, Harlem, MT 59526-9455 2017-03-22
1356887814 Pamela Wallack Registered Nurse 669 Agency Main St, Harlem, MT 59526-9455 2017-01-09
1316490022 Janice Roth Registered Nurse 669 Agency Main St, Harlem, MT 59526-9455 2016-07-28
1992078463 Petra Stephanie Hackler Spec/Tech, Pathology 669 Agency Main St, Harlem, MT 59526-9455 2012-02-14
1730459207 Brooke Elizabeth Leonard Pharmacist 669 Agency Main St, Harlem, MT 59526-9455 2011-12-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558917385 Karen Marie Reevis I Counselor 112 Arena Ave, Harlem, MT 59526 2019-08-16
1528614351 Linda M Azure Counselor 122 Arena Ave., Harlem, MT 59526 2019-08-16
1770144529 Charlie Bear IIi Counselor 122 Arena Ave, Harlem, MT 59526 2019-06-24
1629399423 Cynthia Nicole Chennault Dental Hygienist 669 Agency Main Street, Harlem, MT 59526 2010-06-15
1194998757 Monte A Healy Registered Nurse 456 Grosventre Ave, Harlem, MT 59526 2008-04-03
1043410285 Harlem School District Local Education Agency (LEA) 610 1st Ave Se, Harlem, MT 59526 2007-07-24
1376749176 Antonella Bella Lanza Dentist Fort Belknap Indian Community, 656 Agency Main Street, Harlem, MT 59526 2007-06-27
1205038494 Janet L Jansen Spec/Tech, Pathology 456 Groventre Ave, Harlem, MT 59526 2007-06-01
1295943710 Irma Faye Skunkcap Counselor 656 Agency Main Street, Harlem, MT 59526 2007-05-18
1457567679 Bonnie Rae Lankford Technician, Pathology 345 Gros Ventre Ave, Harlem, MT 59526 2007-05-15
Find all providers in zip 59526

Taxonomy Information

Taxonomy Code 246RM2200X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Medical Laboratory

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457567679 Bonnie Rae Lankford Technician, Pathology 345 Gros Ventre Ave, Harlem, MT 59526 2007-05-15
1881837508 Carolyn Sue Hatfield Technician, Pathology Rr 1 Box 67, Harlem, MT 59526-9705 2009-04-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780234765 David Jospeh Cease Technician, Pathology 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2019-09-12
1790331916 Omar Fidel Espinosa Technician, Pathology 550 6th Ave N, Wolf Point, MT 59201-6000 2019-08-13
1801209655 Richard Wayne Freeeman Technician, Pathology 550 6th Ave North, Wolf Point, MT 59201-0729 2014-06-10
1831510635 Barbara Smith Technician, Pathology 550 6th Ave North, Poplar, MT 59255-0067 2013-12-20
1679823421 Karen Elizabeth Haire Technician, Pathology 107 H Street East, Dphhs-ihs, Poplar, MT 59255-0067 2012-09-19
1740546936 Ravi Sinha Technician, Pathology 535 Clinic Rd E, Box Elder, MT 59521-8826 2012-04-02

Competitor

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City HARLEM
Zip Code 59526

Improve Information

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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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