Bradley G Mullen
SUMMIT MEDICAL GROUP INC


Address: 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673
Phone: 8593413114

Bradley G Mullen (NPI# 1285640318, PAC ID# 5799783841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.

Physician Overview

Nation Provider ID (NPI) 1285640318
PAC ID by PECOS 5799783841
Professional Enrollment ID I20061128000113
Full Name Bradley G Mullen
Organization Legal Name SUMMIT MEDICAL GROUP INC
Address 2300 Chamber Ctr Dr
Suite 100
Fort Mitchell
KY 41017-1673
Phone Number 8593413114
Gender M
Credential MD
Medical School UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty PAIN MANAGEMENT
Secondary Specialties NEUROSURGERY
Group Practice PAC ID 2163326240
Number of Group Practice Members 471
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
180045 ST ELIZABETH FLORENCE
180035 ST ELIZABETH EDGEWOOD
181311 ST ELIZABETH GRANT
180001 ST ELIZABETH FT THOMAS

Other Locations

Address Phone Organization
4900 Houston Rd, Florence, KY 41042-4824 8592127700 SUMMIT MEDICAL GROUP INC
2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673 8593413114 SUMMIT MEDICAL GROUP INC
2300 Chamber Ctr Dr, Suite 200, Lakeside Park, KY 41017-1673 8593445555 SUMMIT MEDICAL GROUP INC

Organization Information

Organization Legal Name SUMMIT MEDICAL GROUP INC
Physicians 48

Physicians with the same organization

Name Specialty Organization Address
Nancy J Metzger Family Practice Summit Medical Group Inc 1980 Litton Lane, Hebron, KY 41048-8669
Rae Elizagaray Registered Dietitian Or Nutrition Professional Summit Medical Group Inc 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673
Amy Riegler Nurse Practitioner Summit Medical Group Inc 350 Thomas More Pkwy, Suite 280, Crestview Hills, KY 41017-5460
Marla S Johnson Nurse Practitioner Summit Medical Group Inc 1 Medical Village Dr, Edgewood, KY 41017-3403
Ivy L Sheehan Registered Dietitian Or Nutrition Professional Summit Medical Group Inc 2300 Chamber Ctr Dr, Suite 200, Lakeside Park, KY 41017-1673
Annette Reynolds Psychiatry Summit Medical Group Inc 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673
Martin J Clements Family Practice Summit Medical Group Inc 1 Medical Village Dr, Edgewood, KY 41017-3403
Susan M Yelich General Surgery Summit Medical Group Inc 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673
Andrew E-kong Chang Obstetrics/gynecology Summit Medical Group Inc 1 Medical Village Dr, Edgewood, KY 41017-3403
Steve Brook Family Practice Summit Medical Group Inc 135 Courthouse Xing, Independence, KY 41051-2509

Office Location

Street Address 2300 CHAMBER CTR DR
SUITE 100
City FORT MITCHELL
State KY
Zip 41017-1673

Physicians in the same location

Name Specialty Organization Address
Robert N Tracy Family Medicine Summit Medical Group, Inc. 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686
Alisa-ann H Christensen Family Medicine Summit Medical Group, Inc. 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686
Eugene J Burchell Obstetrics/gynecology Summit Medical Group, Inc. 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686
Eric Robert Wood Physician Assistant Summit Medical Group, Inc. 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686
Matthew Enzweiler Podiatry Summit Medical Group, Inc. 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686
Debra F Schulte Family Medicine Summit Medical Group, Inc. 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686
Deanna L Winter Nurse Practitioner Summit Medical Group, Inc. 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686
Mandee L Riddell Qualified Audiologist Head and Neck Surgery Associates, Psc 2300 Chamber Ctr Dr, Suite 102, Lakeside Park, KY 41017-1686
Shelby J Thornton Nurse Practitioner Summit Medical Group, Inc. 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686
Niva Khan Internal Medicine Summit Medical Group, Inc. 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Latasha M Swafford Nurse Practitioner Take Care Health Kentucky, P.s.c. 606 Buttermilk Pike, Crescent Springs, KY 41017-1302
Erina T Emerson Nurse Practitioner Take Care Health Kentucky, P.s.c. 606 Buttermilk Pike, Crescent Springs, KY 41017-1302
Dawna M Kennedy Nurse Practitioner Take Care Health Kentucky, P.s.c. 606 Buttermilk Pike, Crescent Springs, KY 41017-1302
Kelly Reitzes Optometry Wing Eyecare, Inc. 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318
Paul T Bertram Optometry Bertram Eyecare, P.s.c. 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318
Jamie Daniels Bertram Optometry Bertram Eyecare, P.s.c. 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318
Gena Grigson Clinical Social Worker 2521 Anderson Rd A, Crescent Springs, KY 41017-1521
Geraldine E Elliott Clinical Social Worker 2521 Anderson Rd A, Crescent Springs, KY 41017-1521
Merle C Helgeson Chiropractic 570 Buttermilk Pike, Crescent Springs, KY 41017-1635
Monica K Sullivan Family Medicine Christ Hospital Medical Associates, II LLC 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669
Find all physicians in zip 41017

Competitor

Search similar physicians

City FORT MITCHELL
Zip Code 41017
Specialty PAIN MANAGEMENT
City + Specialty FORT MITCHELL + PAIN MANAGEMENT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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