Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brent Bullard

Individual provider Rehabilitation Practitioner · NPI 1093121022

Brent Bullard is a Rehabilitation Practitioner in Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

940 Avenue 64
Pasadena, CA 91105-2711
Phone: (323) 254-2274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1093121022
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2014
Last updated in NPPESJuly 11, 2014

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