Mulberry Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

40872 Issued in KY

Legal business name

MULBERRY INTERNAL MEDICINE PLLC

Practice address

2425 Regency Rd
Suite B
Lexington, KY 40503-2948

Phone

(859) 275-1248

Fax

(852) 275-1249

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Penny Mulberry, MD

Title

Owner

Phone

(859) 275-1248

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1306156369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 REGENCY RD",
            "address_2": "SUITE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032948",
            "telephone_number": "859-275-1248",
            "fax_number": "859-275-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 REGENCY RD",
            "address_2": "SUITE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032948",
            "telephone_number": "859-275-1248",
            "fax_number": "852-275-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "MULBERRY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-275-1248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "40872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Muir
• Marsha Muir
• Denis Mujanovic
• Grace Ela Mukherjee
• Wankumbu Mukumano
• Kendra Mulder, LCSW
• Shambra Mulder, PHD
• Karen A. Mulholland, APRN-AOCNS
• Jason A Mull, MD
• Kaitlin Elizabeth Mullaney

• Internal Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.