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

Ryan Bullard

Individual provider Family Nurse Practitioner · NPI 1588075402

Ryan Bullard is a Nurse Practitioner in Lubbock, Texas. Qualified in 2013, 13 years ago. Practices with Grace Clinic of Lubbock, a 44-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2014

Practice location Address checks out

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone: (806) 744-7223
Fax: (806) 740-3325
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP125507 (TX)

Record details

NPI number1588075402
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESFebruary 20, 2017
Mailing address1000 Fm 300, Levelland, TX 79336-6235

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Grace Clinic Of Lubbock — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lubbock