Revolution Med Group, LLC
NPI 1457887093ActiveOrganization· Family Medicine· Colleyville, TX
Family Medicine in Colleyville, Texas, registered in NPPES in May 2017. The authorized official on file is Jeffrey Bullard, MD, Owner.
Overview
| NPI | 1457887093 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2017 |
| Last updated in NPPES | May 2, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinical Neuropsychologist | 103G00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Colleyville
- 1164041521
- 1235909185
- 1013440478
- 1235135906
- 1598148645
- 1013169788
- 1780084442
- 1053670257
- 1285110965
- 1528206612
- 1336968098
- 1750041380