NPI 1235115544 · live from the CMS NPI Registry
Steven Redding Bullard, MD
Ophthalmology in Alexandria, VA. National Provider Identifier 1235115544, active.
NPI record
| NPI | 1235115544 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2865 Duke St, Alexandria, VA 22314 |
| Practice phone | 703-370-2455 |
| Enumerated | December 19, 2005 |
| Last updated | April 22, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist | 207WX0110X | 052853 (VA) |
| Ophthalmology primary | 207W00000X | 052853 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.