Kevin Brian Bullard (NPI# 1639111594, PAC ID# 1153468848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1639111594 |
| PAC ID by PECOS | 1153468848 |
| Professional Enrollment ID | I20160429000495 |
| Full Name | Kevin Brian Bullard |
| Organization Legal Name | SELECT PHYSICAL THERAPY HOLDINGS INC |
| Address |
201 Graduate Rd Unit 108 Conway SC 29526-8688 |
| Phone Number | 8433477141 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9537076401 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 201 Graduate Rd, Unit 108, Conway, SC 29526-8688 | 8433477141 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| 8170 Rourk St, Myrtle Beach, SC 29572-4127 | 8434491963 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| 107 Live Oak St, Suite F, Tabor City, NC 28463-2042 |
| Organization Legal Name | SELECT PHYSICAL THERAPY HOLDINGS INC |
| Physicians | 156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen Connal | Physical Therapy | Select Physical Therapy Holdings Inc | 176 Livermore Falls Rd, Unit 1, Farmington, ME 04938-6243 |
| Stephen Knight | Physical Therapy | Select Physical Therapy Holdings Inc | 5 A Mayo Rd, Edgewater, MD 21037-1805 |
| Amber Christine Smith | Physical Therapy | Select Physical Therapy Holdings Inc | 101 S Saints Blvd, Suite 116, Edmond, OK 73034-3082 |
| Sarah L Wigger | Physical Therapy | Select Physical Therapy Holdings Inc | 2916 S 4th St, 300 Select Physical Therapy 41265, Leavenworth, KS 66048-5016 |
| Patricia Makris | Physical Therapy | Select Physical Therapy Holdings Inc | 1328 Vine St, Suite 41234, Jacksonville, FL 32207-8743 |
| James Edward Silvestri | Physical Therapy | Select Physical Therapy Holdings Inc | 1501 12th Ave S, Nashville, TN 37203-4909 |
| Julie Oconnor | Physical Therapy | Select Physical Therapy Holdings Inc | 1061 E 151st St, Select Physical Therapy, Olathe, KS 66062-3417 |
| Jareth Cardoso | Physical Therapy | Select Physical Therapy Holdings Inc | 10020 Edison Square Dr Nw, Suite C 105, Concord, NC 28027-8252 |
| Jakob Curtis | Physical Therapy | Select Physical Therapy Holdings Inc | 5025 Gaillardia Corporate Pl, Suite B1, Oklahoma City, OK 73142-1888 |
| Emily K Grimm | Physical Therapy | Select Physical Therapy Holdings Inc | 939 W N Ave, Novacare Rehabilitation, Chicago, IL 60642-7138 |
| Street Address |
201 GRADUATE RD UNIT 108 |
| City | CONWAY |
| State | SC |
| Zip | 29526-8688 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Brothers | Orthopedic Surgery | Select Physical Therapy Holdings Inc | 201 Graduate Rd, Unit 108, Conway, SC 29526-8688 |
| Liesel Barker | Physical Therapy | Select Physical Therapy Holdings Inc | 201 Graduate Rd, Conway, SC 29526-8688 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
| William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
| Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Find all physicians in zip 29526 | |||
| City | CONWAY |
| Zip Code | 29526 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CONWAY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kevin Brian Bullard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.