BRIAN THOMAS MULDER


Address: 5875 E Riverside Blvd, Rockford, IL 61114-4937
Phone: 8153989491

BRIAN THOMAS MULDER (NPI# 1558791459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558791459
Entity Type Individual
Full Name BRIAN THOMAS MULDER
Credential APN
Practice Address 5875 E Riverside Blvd
Rockford
IL 61114-4937
Mailing Address Box 78534
Milwaukee
WI 53278
Practice Telephone 8153989491
Practice Fax Number 8153817498
Mailing Telephone 8153989491
Mailing Fax Number 8153817498
Enumeration Date 2013-11-14
Last Update Date 2020-04-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 5580-33 WI Physician Assistants & Advanced Practice Nursing Providers
Y 363L00000X Nurse Practitioner 209-010871 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers BRIAN MULDER

NPI Name Taxonomy Address Enumeration
1700930161 Brian A Mulder Dentist 2008 Eastcastle Se, Suite C, Grand Rapids, MI 49508 2007-01-23
1114047487 Brian James Mulder Pharmacist 2373 64th St Sw, Suite 1100, Byron Center, MI 49315-9400 2007-03-30

Office Location

Street Address 5875 E RIVERSIDE BLVD
City ROCKFORD
State IL
Zip Code 61114-4937

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134126451 Zeeshan Ahmad Physical Medicine & Rehabilitation 5875 E Riverside Blvd, Rockford, IL 61114-4937 2005-07-01
1609415454 Nicholas P Mckeown Physician Assistant 5875 E Riverside Blvd, Rockford, IL 61114-4937 2019-12-26
1922646942 Tori L Homb Nurse Practitioner 5875 E Riverside Blvd, Rockford, IL 61114-4937 2019-12-20
1285296459 Arron Dennis Buck Physical Therapist 5875 E Riverside Blvd, Rockford, IL 61114-4937 2019-07-08
1740840404 Midwest Integrated Surgeons, Pllc Orthopaedic Surgery 5875 E Riverside Blvd, Rockford, IL 61114-4937 2019-06-15
1659931319 Spine Surgeons Integrated Pllc Orthopaedic Surgery 5875 E Riverside Blvd, Rockford, IL 61114-4937 2019-06-15
1255818894 Rockford Orthopedic Associates, Ltd. Dba Orthoillinois Anesthesia Anesthesiology 5875 E Riverside Blvd, Rockford, IL 61114-4937 2018-07-26
1568908283 Robert S. Meyers Physician Assistant 5875 E Riverside Blvd, Rockford, IL 61114-4937 2017-01-19
1427591726 Raquel Ramirez Registered Nurse 5875 E Riverside Blvd, Rockford, IL 61114-4937 2016-11-18
1104374503 Amanda S. Pumilia Registered Nurse 5875 E Riverside Blvd, Rockford, IL 61114-4937 2016-09-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366064560 Caleb Ifeoluwa Oluwadamisi Student in an Organized Health Care Education/Training Program Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 2020-05-11
1811525959 Seifeldin Eid Student in an Organized Health Care Education/Training Program Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 2020-04-01
1073167664 Swedishamerican Hospital Internal Medicine 3505 N Bell School Road, Rockford, IL 61114 2019-07-31
1154980076 Anurag Gill Student in an Organized Health Care Education/Training Program 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 2019-06-13
1578121943 Sona Najafi Student in an Organized Health Care Education/Training Program Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 2019-05-31
1760045744 Julianna Jones Counselor 6653 Weaver Rd Ste 115, Rockford, IL 61114 2019-04-16
1952869943 Angela Marie Hawkins Nurse Practitioner 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 2019-03-08
1376029231 Meghan Beth Teske Chiropractor 3779 N. Alpine Rd., Rockfod, IL 61114 2018-07-13
1811401284 Summit Radiology, LLC Clinic/Center 3849 N. Perryville Road, Rockford, IL 61114 2017-11-21
1548704299 Rockford Orthopedic Associates, Ltd Durable Medical Equipment & Medical Supplies 5929 E Riverside Blvd, Rockford, IL 61114 2016-12-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265052401 Jet Healthcare LLC Nurse Practitioner 5979 Nebeshone Ln, Rockford, IL 61103-8926 2020-04-17
1760023162 Mh Health Care Services, PC Nurse Practitioner 5943 E Riverside Blvd, Rockford, IL 61114-4935 2019-10-07
1235792045 Michelle Anna Barrett Nurse Practitioner 6000 E State St Ste 1, Rockford, IL 61108-2521 2019-04-17
1780177030 Emily Glass Mims Nurse Practitioner 9518 Us Highway 231, Rockford, AL 35132-5551 2018-06-12
1003269895 Jason Roberts Nurse Practitioner 199 Longview Dr, Rockford, MI 49341-1130 2016-07-18
1376950485 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 200, Rockford, IL 61104 2014-07-21
1588800700 Sylvia Ann Garza Nurse Practitioner 3401 N. Perryville Rd, Rockford Health Physicians, Rockford, IL 61114 2008-12-17
1295955284 Jennifer Lee Binder Nurse Practitioner 2327 Nebraska Rd, Rockford, IL 61108-7510 2007-05-01
1689729535 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 100, Rockford, IL 61104 2007-01-23
1902995087 Lori Ann Schultz Nurse Practitioner 1235 N Mulford Rd Ste 205, Rockford, IL 61107-3879 2006-10-12
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61114

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Dataset Information

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.

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