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Southern Breeze Healthcare

Family Medicine Physician in Niceville, FL · enumerated 2018 · authorized official Gary Bullard, Physician Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376028563

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Breeze Healthcare
Practice address 4556 E Hwy 20, Suite 105, Niceville, FL, 32578
Enumeration date Oct 3, 2018
Last updated in NPPES Jan 5, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Gary Bullard
Title Physician Assistant

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-01-05. Verify at npiregistry.cms.hhs.gov.
Where is Southern Breeze Healthcare located?
The practice location on file with NPPES is in Niceville, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-05.