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

Individual provider Physician Assistant · NPI 1396795621

Jonathan Fain Bullman, PA is a Physician Assistant in Milton, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6002 Berryhill Road Santa Rosa Medical Ctr
Milton, FL 32570
Phone: (850) 626-5130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1061450

Record details

NPI number1396795621
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESMarch 25, 2014

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