Brenda R Bullerman in Sioux Falls - Physician Assistant

Brenda R Bullerman - NPI 1225032717

Brenda R Bullerman is a Physician Assistant in Sioux Falls, South Dakota. Brenda R Bullerman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brenda R Bullerman is 1225032717. The last update date is 2020-05-22.

Brenda R Bullerman's current location address is Po Box 5074, Sioux Falls, South Dakota. You can contact this provider via phone number 6053289556 and fax number 6053289501. The mailing address for Brenda R Bullerman is Po Box 5074, Sioux Falls, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda R Bullerman
Address Po Box 5074, Sioux Falls, South Dakota
Phone Number 6053289556
Fax Number 6053289501
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1225032717
Provider Enumeration Date 2005-06-13
Last Updated Date 2020-05-22

Provider Mailing Address Detail

Address Po Box 5074
City Sioux Falls
State South Dakota (SD)
Post Code 5711750740
Phone Number 6053289556
Fax Number 6053289501

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 9095
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6823472 SD --

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FAQs about Brenda R Bullerman

What is the unique 10-digit identifier code issued to Brenda R Bullerman by the Centers for Medicare & Medicaid Services?

The Brenda R Bullerman has been assigned the NPI (National Provider Identifier) 1225032717 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Brenda R Bullerman located?

The Brenda R Bullerman is located at Po Box 5074, Sioux Falls, SD 5711750740.

What is Brenda R Bullerman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Brenda R Bullerman is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1225032717 to Brenda R Bullerman?

The Centers for Medicare & Medicaid Services originally issued the 1225032717 to Brenda R Bullerman on 2005-06-13.

As of what date were the details related to Brenda R Bullerman most recently updated or revised?

The information pertaining to Brenda R Bullerman, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-22.

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