NPIMap

Individual provider Active NPI

Brenda Kris Mullins, MD

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1235133778
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
19064 Issued in OK
Practice address
1211 N Shartel Ave
Suite 1000
Oklahoma City, OK 73103-2400
Phone
(405) 843-5855
Fax
(405) 843-5865
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 19064 OK
Interventional Cardiology Physician 207RI0011X 19064 OK Primary

Addresses

Primary practice location

1211 N Shartel Ave
Suite 1000
Oklahoma City, OK 73103-2400

Mailing address

Dept 96-0485
Oklahoma City, OK 73196-0485
Phone (405) 843-5855

Other identifiers 1

IdentifierTypeStateIssuer
100094930CMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041007000061 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133188980 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Oklahoma College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duncan Regional Hospital, IncGroup PAC ID 5193613057, shared by 22 NPIs, 69 clinicians

Practice addresses (Care Compare)

1415 N Whisenant Dr
Duncan, OK 73533-1650
Phone (580) 252-5300

2621 N Whisenant Dr
Duncan, OK 73533-0911
Phone (580) 252-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19064OKMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care of Oklahoma, Inc. CurrentSince Oct 27, 2009 Accepting new patients
SSM Health Care of Oklahoma, Inc Cardiovascular Disease Current Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 1, 2009 Accepting new patients
Saints Medical Group, LLC Cardiovascular Disease CurrentSince Jan 1, 2009 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince Oct 27, 2009 Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Jun 1, 2023 Accepting new patients
Duncan Regional Hospital, Inc Past Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients
Cardiology Consultants of Texas Cardiovascular Disease Past Accepting new patients
Integris Canadian Valley Hospital Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

2230 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 252-0100

2515 N Whisenant Dr
Ste 200
Duncan, OK 73533
Phone (580) 251-6806

2515 N Whisenant Dr
Ste 301
Duncan, OK 73533
Phone (580) 251-6806

2515 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6806

2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373

1211 N Shartel Ave
Ste 1005
Oklahoma City, OK 73103
Phone (405) 604-6700

2129 SW 59th St
Oklahoma City, OK 73119
Phone (405) 680-2270

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

3400 S Douglas Blvd
Ste 200
Oklahoma City, OK 73150
Phone (405) 272-2850

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

Organizations & group practices 12

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

Hospital & facility affiliations 9

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1235133778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 96-0485",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960485",
            "telephone_number": "405-843-5855",
            "fax_number": "405-843-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE",
            "address_2": "SUITE 1000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-843-5855",
            "fax_number": "405-843-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "BRENDA",
        "middle_name": "KRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "19064",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "19064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100094930C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.