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

Mr. Brian Wade Pullam

Individual provider Family Nurse Practitioner · NPI 1770121535

Mr. Brian Wade Pullam is a Nurse Practitioner in Niceville, Florida. Qualified in 2020, 6 years ago. Practices with Headstrong Behavioral Health LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1049 John Sims Pkwy E
Niceville, FL 32578-2754
Phone: (850) 368-4670
Fax: (850) 378-5237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11005354 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11005354 (FL)

Record details

NPI number1770121535
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 11, 2019
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address1723 Pine Ave, Niceville, FL 32578-4600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Headstrong Behavioral Health Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Niceville