Mary A. Bullard (NPI# 1730136268, PAC ID# 9537198916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1730136268 |
PAC ID by PECOS | 9537198916 |
Professional Enrollment ID | I20050805000435 |
Full Name | Mary A. Bullard |
Organization Legal Name | BROOKS COUNTY HOSPITAL |
Address |
903 N Court St Quitman GA 31643-5001 |
Phone Number | 2292634171 |
Gender | F |
Credential | MD |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 1557279049 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110038 | JOHN D ARCHBOLD MEMORIAL HOSPITAL |
111331 | MITCHELL COUNTY HOSPITAL |
111332 | BROOKS COUNTY HOSPITAL |
110121 | GRADY GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1155 5th St Se, Cairo, GA 39828-3142 | 2293771150 | GRADY GENERAL HOSPITAL |
90 Stevens St, Camilla, GA 31730-1899 | 2292288857 | HOSPITAL AUTHORITY OF MITCHELL COUNTY |
903 N Court St, Quitman, GA 31643-5001 | 2292634171 | BROOKS COUNTY HOSPITAL |
915 Gordon Ave, Thomasville, GA 31792-6614 | 2292282000 | JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. |
Organization Legal Name | BROOKS COUNTY HOSPITAL |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rafik Ben Abda | Diagnostic Radiology | Brooks County Hospital | 30 Timberland Cir, Richmond Hill, GA 31324-6373 |
Kelley S Helquist | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
William C Allen | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Geoffrey S Deutsch | General Surgery | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Mark T Helquist | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Cary C Newman | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
William L Cooper | Internal Medicine | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
John B Carico | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Timothy B Daniel | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Jacqueline Smith | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Street Address |
903 N COURT ST |
City | QUITMAN |
State | GA |
Zip | 31643-5001 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelley S Helquist | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
William C Allen | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Geoffrey S Deutsch | General Surgery | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Mark T Helquist | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Cary C Newman | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
William L Cooper | Internal Medicine | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
John B Carico | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Timothy B Daniel | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Jacqueline Smith | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Frederick J Anderson | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachel G Velez | Family Medicine | 606 W Screven St, Quitman, GA 31643-0845 | |
David R Jackson | Nurse Practitioner | The Nightingale Clinic, PC | 606 W Screven St, Quitman, GA 31643-0845 |
James T Brown | Family Medicine | Primary Care of Southwest Georgia Inc | 907 N Court St, Quitman, GA 31643-1315 |
Frantz E Felix | Family Medicine | Primary Care of Southwest Georgia Inc | 907 N Court St, Quitman, GA 31643-1315 |
Susan Mildred Harding | Internal Medicine | 905 N Court St, Quitman, GA 31643-1362 | |
Ricky J Rowe | Optometry | 104 N Madison St, Quitman, GA 31643-2012 | |
Gregory L Roesel | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
James S Karas | Cardiovascular Disease (cardiology) | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Brandi D Lanier | Diagnostic Radiology | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Steven M Brewer | Internal Medicine | Brooks County Hospital | 903 N Court St, Quitman, GA 31643-5001 |
Find all physicians in zip 31643 |
City | QUITMAN |
Zip Code | 31643 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | QUITMAN + DIAGNOSTIC RADIOLOGY |
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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.