Bullard, Andrew Gray

Bullard, Andrew Gray is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Bullard, Andrew Gray can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 32654 North Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 32654 North Carolina

Profile Details

NPI number 1154383503
LBN Legal business name Bullard, Andrew Gray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154383503 NPPES
Other 2460072/5678036 AETNA
Other 12338 AETNA
Other 298485 AETNA
MEDICAID 890109N AETNA
Other 19674 AETNA
Other 32654 AETNA
Other 1516879-003 AETNA
Other 290005714 AETNA
Other 311001 AETNA
Other 4840048 AETNA

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