DR. BERNARD NEIL MULLEN II (NPI# 1386615276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386615276 |
| Entity Type | Individual |
| Full Name | DR. BERNARD NEIL MULLEN II |
| Credential | MD |
| Practice Address |
9040 Reid Department of Emergency Medicine, Madigagn Hospital Tacoma WA 98433 |
| Mailing Address |
3202 N 33rd St Tacoma WA 98407-6004 |
| Practice Telephone | 2539681250 |
| Practice Fax Number | 2539682550 |
| Mailing Telephone | 2537610380 |
| Mailing Fax Number | 2539682550 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 24520 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
9040 REID DEPARTMENT OF EMERGENCY MEDICINE, MADIGAGN HOSPITAL |
| City | TACOMA |
| State | WA |
| Zip Code | 98433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
| 1790393213 | Matthew T Ellison | Dentist | Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 | 2020-07-21 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| 1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
| 1245891019 | Tanya Latrell Lesane | Counselor | 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 | 2019-06-24 |
| 1740844224 | Allison Tracy Bertoni | Student in an Organized Health Care Education/Training Program | 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-30 |
| 1124682448 | Lori Ann Sage | Registered Nurse | Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-23 |
| 1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
| 1982182101 | Won Kyung Yang | Dentist | 11582 C St., Jblm, WA 98433 | 2018-07-31 |
| 1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
| Find all providers in zip 98433 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497140206 | Angus Agnew | Emergency Medicine | 315 M.l.k. Jr. Way, Tacoma, WA 98405 | 2015-03-30 |
| 1881037497 | Sathyaraj Murugappan | Emergency Medicine | 315 M.l.k. Jr Way, Tacoma, WA 98405 | 2013-04-12 |
| 1245381474 | Elmer M Casey Jr. | Emergency Medicine | 1930 Port of Tacoma Rd, Tacoma, WA 98421-3707 | 2007-01-15 |
| 1801830096 | Dzung Cao Do | Emergency Medicine | 1717 South J St, Tacoma, WA 98405 | 2006-06-16 |
| 1164463550 | Anthony J Haftel | Emergency Medicine | 1717 S I St, Tacoma, WA 98405-5031 | 2006-06-09 |
| 1699728881 | Steven Albert Pace | Emergency Medicine | 315 Mlk Jr. Way, Tacoma Emergency Care Physicians, Tacoma, WA 98405 | 2006-05-18 |
| 1235100306 | Bradley Nels Younggren | Emergency Medicine | Commander, Madigan Army Medical Center, Attn: Mchj-em, Tacoma, WA 98431-0001 | 2006-01-27 |
| 1619955424 | James G Lenhart | Emergency Medicine | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2006-01-03 |
| 1518599034 | Howard Lee Ward Jr. | Emergency Medicine | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-02-12 |
| 1700317856 | Andrew Joshua Withington | Emergency Medicine | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1675 | 2017-03-21 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.