DR. DAVID ALAN MULLEN D.O. NPI 1891760237

NPI Information

NPI: 1891760237
Provider Name: DR. DAVID ALAN MULLEN, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
30 N ALLEN ST
BONNE TERRE, MO
ZIP 63628
Phone: (573) 358-3343
Get Directions

DR. David Alan Mullen, D.O. is a family medicine in Bonne Terre, MO with 40 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. David Alan Mullen, D.O. NPI is 1891760237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 N ALLEN ST
BONNE TERRE, MO
ZIP 63628-210
Phone: (573) 358-3343
Fax: (573) 358-5458

The NPI 1891760237 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 10/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		36676	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	242084929	MEDICAID	MISSOURI
2	A10298	OTHER	MISSOURI	MERCY HEALTH PLAN
3	13015V21878	OTHER	MISSOURI	HEALTHCARE USA
4	700678	OTHER	MISSOURI	MERCY CARE PLUS
5	325136	OTHER	MISSOURI	HARMONY HEALTH PLAN
6	431815767	OTHER	MISSOURI	CMR
7	0130012	OTHER	MISSOURI	UNITED HEALTH CARE
8	101523	OTHER	MISSOURI	HEALTHLINK, INC.
9	367V40311	OTHER	MISSOURI	GROUP HEALTH PLAN
10	431815767	OTHER	MISSOURI	GREAT WEST LIFE INS
11	4393019	OTHER	MISSOURI	AETNA
12	080123004	OTHER	MISSOURI	RAILROAD MEDICARE
13	20351	OTHER	MISSOURI	BC.BS OF MO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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