1518964790 NPI number — BRADFORD B MULLIN M.D.

Table of content: BRADFORD B MULLIN M.D. (NPI 1518964790)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518964790 NPI number — BRADFORD B MULLIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MULLIN
Provider First Name:
BRADFORD
Provider Middle Name:
B
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518964790
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/01/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
955 EASTWIND DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTERVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43081-3376
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-268-9561
Provider Business Mailing Address Fax Number:
614-268-7849

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
955 EASTWIND DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTERVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43081-3376
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-268-9561
Provider Business Practice Location Address Fax Number:
614-268-7849
Provider Enumeration Date:
07/05/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207T00000X , with the licence number:  35059100M , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 649946 . This is a "AETNA PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1789438007 . This is a "CIGNA HEALTHCARE PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0979204 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000006771 . This is a "ANTHEM PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 600102 . This is a "UNITED HEALTHCARE PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 64094782 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 310874776029 . This is a "CARESOURCE PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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