Mullen, Bradley Gerard

Mullen, Bradley Gerard is an individual health care provider with primary practice located at 4900 Houston Rd , Florence KY 41042-4824. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Mullen, Bradley Gerard can be contacted via phone (859) 212-7000.

Contact Information

Primary practice address
4900 Houston Rd Florence KY 41042-4824
Phone: (859) 212-7000
Fax: (859) 212-7010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 27835 Kentucky
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 35-061467 Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 27835 Kentucky
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 35-061467 Ohio
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 27835 Kentucky

Profile Details

NPI number 1285640318
LBN Legal business name Mullen, Bradley Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Sep 13th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285640318 NPPES
Ohio MEDICAID 0828108
Ohio MEDICAID 64867476

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