Individual
BRIAN HEATH MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 ESKENAZI AVENUE, 5TH 3RD BLDG, INDIANAPOLIS, IN 46202-5116
(317) 630-7889
(317) 630-6935
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME 92245
FL
207X00000X
Orthopaedic Surgery Physician
Primary
01061878A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000483360
ANTHEM PTAN
IN
01
—
000001255075
ANTHEM PTAN
IN
05
—
200823960
—
IN
05
—
272599100
—
FL
Enumeration date
02/10/2006
Last updated
03/15/2025
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