Bruce Mullen (NPI# 1083781702, PAC ID# 5991606667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1083781702 |
| PAC ID by PECOS | 5991606667 |
| Professional Enrollment ID | I20040127000188 |
| Full Name | Bruce Mullen |
| Organization Legal Name | BRUCE E MULLEN A PROFESSIONAL CORPORATION |
| Address |
775 N Roop St Suite 112 Carson City NV 89701-3106 |
| Phone Number | 7758837938 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 6002717766 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 291313 | BANNER CHURCHILL COMMUNITY HOSPITAL |
| 290019 | CARSON TAHOE REGIONAL MEDICAL CENTER |
| 291306 | CARSON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 775 N Roop St, Suite 112, Carson City, NV 89701-3106 | 7758837938 | BRUCE E MULLEN A PROFESSIONAL CORPORATION |
| Organization Legal Name | BRUCE E MULLEN A PROFESSIONAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica H Wichner | Physical Medicine and Rehabilitation | Bruce E Mullen A Professional Corporation | 775 N Roop St, Carson City, NV 89701-3106 |
| Street Address |
775 N ROOP ST SUITE 112 |
| City | CARSON CITY |
| State | NV |
| Zip | 89701-3106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica H Wichner | Physical Medicine and Rehabilitation | Bruce E Mullen A Professional Corporation | 775 N Roop St, Carson City, NV 89701-3106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey K Bean | Podiatry | 1801 N Carson St, Carson City, NV 89701-1216 | |
| Brian Richard Benitz | Optometry | Pritchett Eye Care PC | 1987 N Carson St, Suite 5, Carson City, NV 89701-1225 |
| David H Johnson Sr. | Family Practice | Healogics Specialty Physicians of Nevada-johnson Pllc | 775 Fleischmann Way, Carson City, NV 89701-2995 |
| Kelly C Nalder | Nurse Practitioner | Healogics Specialty Physicians of Nevada-johnson Pllc | 775 Fleischmann Way, Carson City, NV 89701-2995 |
| Racheal Wilson | Physician Assistant | Healogics Specialty Physicians of Nevada-johnson Pllc | 775 Fleischmann Way, Carson City, NV 89701-2995 |
| Nancy L Gilson-lucier | Clinical Social Worker | Serenity Mental Health | 755 N Roop St, Suite 101, Carson City, NV 89701-3107 |
| Daniel L Schlenger | Chiropractic | 1801 E William St, Suite G, Carson City, NV 89701-3203 | |
| Dee Rodriguez | Clinical Social Worker | 777 E William St, Suite 106, Carson City, NV 89701-4057 | |
| John J Ediss | Chiropractic | 601 E Washington St, Carson City, NV 89701-4064 | |
| Thomas F Sheehan | Psychologist, Clinical | 600 E William St, Suite 202, Carson City, NV 89701-4085 | |
| Find all physicians in zip 89701 | |||
| City | CARSON CITY |
| Zip Code | 89701 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | CARSON CITY + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Bruce Mullen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.