Bradley Gerard Mullen, MD is a
Pain Medicine - Interventional Pain Medicine physician based in Florence, Kentucky. Bradley Gerard Mullen is licensed to practice in Kentucky (license number 27835) and his current practice location is 4900 Houston Rd, Florence, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(859) 212-7000.
NPI number for Bradley Gerard Mullen is 1285640318 and his current mailing address is Po Box 635283, Cincinnati, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285640318.
Physician's Profile
| Full Name | Bradley Gerard Mullen |
|---|
| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 4900 Houston Rd, Florence, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285640318
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 09/13/2018
Medical Identifiers
Medical identifiers for Bradley Gerard Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285640318 | NPI | - | NPPES |
| 0828108 | Medicaid | OH | |
| 64867476 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | 27835 (Kentucky) | Secondary |
| 207T00000X | Neurological Surgery | 35-061467 (Ohio) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 27835 (Kentucky) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 35-061467 (Ohio) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 27835 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Gerard Mullen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bradley Gerard Mullen, MD
Po Box 635283,
Cincinnati, OH 45263-5283
Ph: (859) 212-7000 | Bradley Gerard Mullen, MD
4900 Houston Rd,
Florence, KY 41042-4824
Ph: (859) 212-7000 |
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