MEDICARE: JABRIE BULLARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1457206088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JABRIE BULLARD

Provider Business Mailing Address
First Line	:	PO BOX 701
Second Line	:
City	:	PEMBROKE
State	:	NC
Zip	:	28372-0701
Country	:	US
Telephone Number	:	910-774-4286
Fax Number	:

Provider Business Practice Location Address
First Line	:	4657 PROSPECT RD
Second Line	:
City	:	MAXTON
State	:	NC
Zip	:	28364-9051
Country	:	US
Telephone Number	:	910-774-4286
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

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Directions to “ JABRIE BULLARD ” Practice Location

Language	Start Address	Practice Location

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