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

Malisha Bullard, RTR

Individual provider Diagnostic Radiology Physician · NPI 1104655695

Malisha Bullard, RTR is a Diagnostic Radiology Physician in Gaylesville, Alabama. Licensed in Alabama. Registered with an NPI since 2024.

Licensed in
AL
In the registry since
2024

Practice location Address checks out

1393 County Road 46
Gaylesville, AL 35973-3103
Phone: (256) 266-3178
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 527282 (AL)

Record details

NPI number1104655695
Entity typeIndividual (Type 1)
GenderFemale
Credentials RTR
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024