Individual provider Active NPI

Bruce Mullen, MD

  • Physical Medicine & Rehabilitation Physician
  • Carson City, NV
National Provider Identifier
1083781702
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5880 Issued in NV
Practice address
755 N Roop St
Suite 112
Carson City, NV 89701-3106
Phone
(775) 883-7938
Fax
(775) 883-0907
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5880 NV Primary

Addresses

Primary practice location

755 N Roop St
Suite 112
Carson City, NV 89701-3106

Mailing address

755 N Roop St Ste 112
Carson City, NV 89701-3107
Phone (775) 883-7938

Other identifiers 1

IdentifierTypeStateIssuer
002013034MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000188 NV Practitioner - Physical Medicine and Rehabilitation 5991606667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Un of California, Irvine, College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce E Mullen a Professional CorporationGroup PAC ID 6002717766, 3 clinicians

Practice addresses (Care Compare)

755 N Roop St
Suite 112
Carson City, NV 89701-3107
Phone (775) 883-7938

Hospital & facility affiliations

  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as group
Improvement activities
40
Cost
74.84

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce E Mullen a Professional Corporation Physical Medicine & Rehabilitation CurrentSince Apr 1, 1999 Accepting new patients
Sage Surgical & Neuromodulation LLC CurrentSince Dec 6, 2025 Accepting new patients
Procare Pain and Spine, LLC CurrentSince Jan 1, 2021 Accepting new patients
Renown Regional Medical Center PastSince Apr 1, 1999 Accepting new patients

Locations

755 N Roop St
Ste 112
Carson City, NV 89701
Phone (775) 883-7938

5500 Reno Corporate Dr
Reno, NV 89511
Phone (775) 451-3673

3500 Lakeside Ct
Ste 101
Reno, NV 89509
Phone (775) 636-6200

5500 Reno Corporate Dr
Ste 200
Reno, NV 89511
Phone (775) 900-8844

550 W Plumb Ln
Ste B
Reno, NV 89509

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCAAED/Endpoint/CCAAED

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1083781702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N ROOP ST STE 112",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897013107",
            "telephone_number": "775-883-7938",
            "fax_number": "775-883-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N ROOP ST",
            "address_2": "SUITE 112",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897013106",
            "telephone_number": "775-883-7938",
            "fax_number": "775-883-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "5880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002013034",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.