Malisha Bullard, RT(R) is a
Radiology - Diagnostic Radiology physician based in Gaylesville, Alabama. Malisha Bullard is licensed to practice in Alabama (license number 527282) and her current practice location is 1393 County Road 46, Gaylesville, Alabama. She can be reached at her office (for appointments etc.) via phone at
(256) 266-3178.
NPI number for Malisha Bullard is 1104655695 and her current mailing address is 1393 County Road 46, Gaylesville, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104655695.
Physician's Profile
Full Name | Malisha Bullard |
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Gender | Female |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 1393 County Road 46, Gaylesville, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104655695
- Provider Enumeration Date: 07/31/2024
- Last Update Date: 07/31/2024
Medical Identifiers
Medical identifiers for Malisha Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104655695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 527282 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Malisha Bullard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Malisha Bullard, RT(R) 1393 County Road 46, Gaylesville, AL 35973-3103 Ph: (256) 266-3178 | Malisha Bullard, RT(R) 1393 County Road 46, Gaylesville, AL 35973-3103 Ph: (256) 266-3178 |
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