Individual
BRADFORD B MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
955 EASTWIND DR, WESTERVILLE, OH 43081-3376
(614) 268-9561
(614) 268-7849
Mailing address
955 EASTWIND DR, WESTERVILLE, OH 43081-3376
(614) 268-9561
(614) 268-7849
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35059100M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006771
ANTHEM PIN
OH
05
—
0979204
—
OH
01
—
1789438007
CIGNA HEALTHCARE PIN
OH
01
—
310874776029
CARESOURCE PIN
OH
01
—
600102
UNITED HEALTHCARE PIN
OH
05
—
64094782
—
KY
01
—
649946
AETNA PIN
OH
Enumeration date
07/05/2005
Last updated
07/01/2016
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