IndividualActive
Rickey Bullard, DPM
NPI 1760496244 · Podiatrist · Tupelo, MS
Provider details
- NPI number
- 1760496244
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 80058 (MS)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1902 West Main Street
Tupelo, MS 38801
Phone: (662) 844-4766
Fax: (662) 680-6997
Approximate (ZIP-level) locationGet directions
Mailing address
1902 West Main Street
Tupelo, MS 38801
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2008-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.