| Dr Bradley R Mullen, MD | |
|
5605 W Eugie Ave Ste 110, Glendale, AZ 85304-1273 | |
| (623) 847-2000 | |
| Not Available |
| Full Name | Dr Bradley R Mullen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 5605 W Eugie Ave Ste 110, Glendale, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336253632 | NPI | - | NPPES |
| 100194978 | Medicaid | WI | |
| 314564 | Medicaid | AZ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orlando Health | Orlando, FL | Hospital |
| Orlando Health South Lake Hospital | Clermont, FL | Hospital |
| Health Central | Ocoee, FL | Hospital |
| Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
| Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohri Llc | 4981912169 | 101 |
| Orlando Health Medical Group Inc | 9537059084 | 1810 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Ohri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386034346 PECOS PAC ID: 4981912169 Enrollment ID: O20151008000809 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley R Mullen, MD 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 Ph: (602) 521-6200 | Dr Bradley R Mullen, MD 5605 W Eugie Ave Ste 110, Glendale, AZ 85304-1273 Ph: (623) 847-2000 |
Dr. Perry S Hiscok, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7111 W Bell Rd, Suite 104, Glendale, AZ 85308 Phone: 623-533-4465 | |
Dr. Murali G Murty, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5810 W Beverly Ln, Glendale, AZ 85306 Phone: 623-312-3000 Fax: 623-312-3060 | |
Phillip M Moeser, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5322 W Northern Ave, Southwest Diagnostic Imaging Ltd, Glendale, AZ 85301 Phone: 480-425-5063 Fax: 623-915-6924 | |
Denise J Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5605 W Eugie Ave Ste 110, Glendale, AZ 85304 Phone: 623-847-2000 | |
Patrick R Miller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5810 W Beverly Ln, Glendale, AZ 85306 Phone: 623-312-3000 Fax: 623-312-3060 | |
Dr. Raul Galvez-trevino, M.D., M.P.H. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5605 W Eugie Ave Ste 110, Glendale, AZ 85304 Phone: 623-847-2000 | |
Baharak Bagheri, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5605 W Eugie Ave Ste 110, Glendale, AZ 85304 Phone: 623-847-2000 |