BRENT A MULLINS (NPI# 1558365205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558365205 |
| Entity Type | Individual |
| Full Name | BRENT A MULLINS |
| Credential | M.D. |
| Practice Address |
80 Humphreys Center Dr Ste 330 Memphis TN 38120-2363 |
| Mailing Address |
Po Box 405827 Atlanta GA 30384-5800 |
| Practice Telephone | 9017526131 |
| Practice Fax Number | 9017516170 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
18565 | MS | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
18880 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 115373 | 05 | |
| TN | 3835436 | 05 |
| Street Address |
80 HUMPHREYS CENTER DR STE 330 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223298 | Kirby L Smith | Internal Medicine | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2005-05-23 |
| 1083269807 | Alicia Mizell Earley | Nurse Practitioner | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2019-08-08 |
| 1104203827 | Jequie Dixon | Nurse Practitioner | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2015-05-01 |
| 1144504457 | Boston Baskin Cancer Foundation, Inc | Internal Medicine | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2011-10-05 |
| 1538460225 | Shailesh R Satpute | Internal Medicine | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2010-11-11 |
| 1578870853 | Angela M Scott | Nurse Practitioner | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2010-09-08 |
| 1619198512 | Muhammad Raza | Internal Medicine | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2007-05-01 |
| 1962591362 | Marcus A Norris | Registered Nurse | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2006-10-12 |
| 1164450904 | Michael J Magee | Internal Medicine | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2006-06-29 |
| 1417900374 | Sailendra Vasireddy | Internal Medicine | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558436337 | David Neil Hayes | Internal Medicine | 1211 Union Ave Ste 300, Memphis, TN 38104-6655 | 2006-11-21 |
| 1396852273 | Sandeep Kumar Rajan | Internal Medicine | 6401 Poplar Ave Ste 195, Memphis, TN 38119 | 2006-08-24 |
| 1215943675 | Family Cancer Center, Pllc | Internal Medicine | 6029 Walnut Grove, Suite 301, Memphis, TN 38120-2112 | 2006-07-31 |
| 1326070277 | Jarvis D Reed | Internal Medicine | 1588 Union Ave, Memphis, TN 38104-3729 | 2006-07-07 |
| 1306886825 | Kenneth I Ataga | Internal Medicine | 1325 Eastmoreland Ave Ste 101, Memphis, TN 38104 | 2006-06-07 |
| 1265424659 | Donna Przepiorka | Internal Medicine | 1331 Union Ave, Suite 800, Memphis, TN 38104-3513 | 2005-08-22 |
| 1851399638 | David Wayne Sullivan | Internal Medicine | 6029 Walnut Grove Rd Ste 301, Memphis, TN 38120-2112 | 2005-07-14 |
| 1659375392 | Stephen A Besh | Internal Medicine | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2005-06-10 |
| 1003819269 | Aleksandar Jankov | Internal Medicine | 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120-2112 | 2005-05-23 |
| 1144223298 | Kirby L Smith | Internal Medicine | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2005-05-23 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.