IndividualActive
Susan Bullard, M.D.
NPI 1386629129 · Pediatrics Physician · Stillwater, OK
Provider details
- NPI number
- 1386629129
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 13739 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1815 W 6th Ave
Stillwater, OK 74074-4202
Phone: (405) 743-7375
Fax: (918) 743-7253
Street-level locationGet directions
Mailing address
6600 S Yale Ave
Tulsa, OK 74136-3310
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2008-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.