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

Mr. Gary Phillip Bullard, PA-C

Individual provider Medical Physician Assistant · NPI 1831165638

Mr. Gary Phillip Bullard, PA-C is a Medical Physician Assistant in Niceville, Florida. Practices as a sole proprietor. Licensed in Florida and North Carolina.

Licensed in
FL, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4566 E Highway 20 Ste 105
Niceville, FL 32578-8839
Phone: (850) 279-4543
Fax: (850) 279-4827
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9104382 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-00280 (NC)

Record details

NPI number1831165638
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 23, 2006
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021

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