Darryle P Bullard (NPI# 1245288653, PAC ID# 9931104429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1245288653 |
| PAC ID by PECOS | 9931104429 |
| Professional Enrollment ID | I20060915000098 |
| Full Name | Darryle P Bullard |
| Organization Legal Name | EASTERN SHORE MEDICAL SPECIALISTS, LLC |
| Address |
3 Medical Park Dr Fairhope AL 36532-1873 |
| Phone Number | 2519288804 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9032019955 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010100 | THOMAS HOSPITAL |
| 010083 | SOUTH BALDWIN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3 Medical Park Dr, Fairhope, AL 36532-1873 | 2519288804 | EASTERN SHORE MEDICAL SPECIALISTS, LLC |
| Organization Legal Name | EASTERN SHORE MEDICAL SPECIALISTS, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Winthrop Ives | Gastroenterology | Eastern Shore Medical Specialists, LLC | 3 Medical Park Dr, Fairhope, AL 36532-1873 |
| Street Address |
3 MEDICAL PARK DR |
| City | FAIRHOPE |
| State | AL |
| Zip | 36532-1873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rose J Fetting | Clinical Social Worker | 3 Medical Park Dr, Suite 302, Benton, AR 72015-3726 | |
| William F Sullivan | Rheumatology | Arthritis Care of The Eastern Shore, LLC | 3 Medical Park Dr, Fairhope, AL 36532-1804 |
| Mariann Harrington | Hematology/oncology | Central Arkansas Radiation Therapy Inst Inc | 3 Medical Park Dr, Suite 202, Benton, AR 72015-3700 |
| Freda Smith | Nurse Practitioner | Arthritis Care of The Eastern Shore, LLC | 3 Medical Park Dr, Fairhope, AL 36532-1804 |
| Sonia Belliappa | Ophthalmology | Ramapo Ophthalmology Associates, LLP | 3 Medical Park Dr, Pomona, NY 10970-3516 |
| Sarah Reyna | Nurse Practitioner | Saline Clinics LLC | 3 Medical Park Dr, Suite 200, Benton, AR 72015-3725 |
| Christopher Winthrop Ives | Gastroenterology | Eastern Shore Medical Specialists, LLC | 3 Medical Park Dr, Fairhope, AL 36532-1873 |
| Jyothis A Abraham-cohen | Optometry | Ramapo Ophthalmology Associates, LLP | 3 Medical Park Dr, Pomona, NY 10970-3516 |
| Phillip Suffridge | Ophthalmology | Ophthalmology Associates of Benton, Pllc | 3 Medical Park Dr, Benton, AR 72015-3728 |
| Alan Hughes | Ophthalmology | Ophthalmology Associates of Benton, Pllc | 3 Medical Park Dr, Benton, AR 72015-3728 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Townsend Corte | Family Medicine | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Lea T Collins | Nurse Practitioner | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Regan M Andrade | Family Medicine | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Allan David Mills | Psychiatry | 761 B Middle St, Fairhope, AL 36532-1715 | |
| Sarah Gonzalez | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| John J Broderick Cantwell | Psychiatry | 770 Middle St, Fairhope, AL 36532-1766 | |
| Frances T Fuller | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Stephen E Winston | Family Medicine | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Craig M Dowden | Family Medicine | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Karen Lynne Adams | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Find all physicians in zip 36532 | |||
| City | FAIRHOPE |
| Zip Code | 36532 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | FAIRHOPE + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Darryle P 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.