Bryan R Mullin, MD is a
Pathology - Anatomic Pathology physician based in South Boston, Virginia. Bryan R Mullin is licensed to practice in Virginia (license number 0101053735) and his current practice location is 2204 Wilborn Ave, Halifax Regional Medical Center, South Boston, Virginia. He can be reached at his office (for appointments etc.) via phone at
(434) 517-3229.
NPI number for Bryan R Mullin is 1700916475 and his current mailing address is 3900 Connecticut Ave Nw, Washington, District Of Columbia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700916475.
Physician's Profile
Full Name | Bryan R Mullin |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology |
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Location | 2204 Wilborn Ave, South Boston, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700916475
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Bryan R Mullin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700916475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0101X | Pathology - Anatomic Pathology | 0101053735 (Virginia) | 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. Bryan R Mullin 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 |
Bryan R Mullin, MD 3900 Connecticut Ave Nw, Washington, DC 20008 Ph: (202) 686-4455 | Bryan R Mullin, MD 2204 Wilborn Ave, Halifax Regional Medical Center, South Boston, VA 24592 Ph: (434) 517-3229 |
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