Jack Bullard
NPI 1568330983 · Registered Dietitian · Chandler, AZ
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Bullard is a Registered Dietitian provider in Chandler, AZ (NPI 1568330983).
Provider details
- NPI number
- 1568330983
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 86375126 (AZ)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-10-27
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Frequently asked questions
- What is Jack Bullard's NPI number?
- Jack Bullard's National Provider Identifier (NPI) is 1568330983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Bullard's specialty?
- Jack Bullard is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jack Bullard located?
- Jack Bullard's practice location on file with NPPES is 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472.
- What is Jack Bullard's phone number?
- The practice phone number listed in the NPPES registry for Jack Bullard is (602) 892-8680.
- Does Jack Bullard accept Medicare?
- Jack Bullard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Bullard's NPI active?
- Yes — Jack Bullard's NPI (1568330983) is active in the NPPES registry as of the last update on 2025-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.