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Revolution Med Group, LLC

Family Medicine Physician in Colleyville, TX · enumerated 2017 · authorized official Jeffrey Bullard, Owner.

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

National Provider Identifier

1457887093

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Registry record

Entity type Organization (Type 2)
Legal business name Revolution Med Group, LLC
Practice address 5207 Heritage Ave, Colleyville, TX, 76034
Fax (817) 553-2179
Enumeration date May 2, 2017
Last updated in NPPES May 2, 2017

Taxonomy & classification

103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jeffrey Bullard
Title Owner

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

Who is the authorized official for Revolution Med Group, LLC?
NPPES lists Jeffrey Bullard (Owner) as the authorized official for this organization.
What is the NPI number for Revolution Med Group, LLC?
The NPI for Revolution Med Group, LLC is 1457887093, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-02.