Active NPI
Bradley Robert Mullen, M.D.
- Diagnostic Radiology Physician
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 37599
- Practice address
- 333 Pine Ridge Blvd
Wausau, WI 54401-4102 - Phone
- (715) 847-2283
- NPI assigned
- Aug 17, 2006
- Last updated
- Mar 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | EMC0007015 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 35.140944 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 75187-20 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 37599 | AZ | Primary |
Addresses
Primary practice location
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8315
Other practice location 1
395 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 293-8315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, FL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681
3306 E Daley LN
Phoenix, AZ 85050-8411
Phone (715) 847-2283
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37599 | AZ | MD | Diagnostic Radiology Physician |
| EMC0007015 | MI | MD | Diagnostic Radiology Physician |
| 75187-20 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Ohri, LLC | Current | Accepting new patients | |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Ohri, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Lucidsolutions, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Wausau, SC | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Carelife Imaging, LLC | Current | Accepting new patients | |
| Osu Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Associated Valley Radiologists LTD | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ohri, LLC | Current | Accepting new patients | |
| Bayfront Health Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
| Scottsdale Medical Imaging, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Med 97 LLC | Past | Accepting new patients |
Locations (25 of 73)
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729
1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198
3645 S Rome St
Ste 101
Gilbert, AZ 85297
665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500
18275 N 59th Ave
Ste 168
Glendale, AZ 85308
18275 N 59th Ave
Ste 168K
Glendale, AZ 85308
Phone (602) 889-1977
5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420
5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002
5757 W Thunderbird Rd
Ste W100
Glendale, AZ 85306
Phone (623) 931-7999
6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230
13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917
1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779
1940 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (480) 476-8800
6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619
6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490
Networks
- Freedom Health HMO Network
Organizations & group practices 19
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.
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
- Diagnostic Radiology Physician
- Glendale, AZ
- NPI 1932683257
-
dba Orlando Health Imaging Centers
- Diagnostic Radiology Physician
- Altamonte Springs, FL
- NPI 1386034346
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
AZ
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology
-
dba Genesis Outpatient Imaging
- Radiology Clinic/Center
- Zanesville, OH
- NPI 1801334800
-
dba Bayfront Health St. Petersburg Imaging Center
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
Diagnostic Radiology
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspirus Therapy & Fitness - Medford
- Rehabilitation Clinic/Center
- Medford, WI
- NPI 1104922814
Hospital
-
dba Aspirus Therapy - Prentice
- Rehabilitation Hospital Unit
- Prentice, WI
- NPI 1154468205
-
dba Aspirus Rib Lake Clinic
- Rural Health Clinic/Center
- Rib Lake, WI
- NPI 1265502173
Hospital
-
dba Aspirus Gilman Clinic
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
Hospital
-
dba Aspirus Medford Clinic
- Rural Health Clinic/Center
- Medford, WI
- NPI 1427140649
Hospital
-
dba Aspirus Medford Hospital
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
dba Aspirus Prentice Clinic
- Rural Health Clinic/Center
- Prentice, WI
- NPI 1710066584
Hospital
-
dba Aspirus Athens Clinic
- Rural Health Clinic/Center
- Athens, WI
- NPI 1760912919
Hospital
-
dba Aspirus Edgar Clinic
- Clinic/Center
- Edgar, WI
- NPI 1447580725
Hospital
-
dba Aspirus Dermatology Clinic
- Dermatology Physician
- Wausau, WI
- NPI 1477883759
Hospital
-
dba Aspirus Imaging - Westwood
- Radiology Clinic/Center
- Wausau, WI
- NPI 1780014407
Hospital
-
dba Aspirus Outpatient Therapies - Pediatrics
- Rehabilitation Clinic/Center
- Wausau, WI
- NPI 1083955165
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1336253632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-8315",
"fax_number": "614-293-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PINE RIDGE BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014102",
"telephone_number": "715-847-2283"
}
],
"practiceLocations": [
{
"address_1": "395 W 12th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101267",
"country_code": "US",
"telephone_number": "614-293-8315",
"fax_number": "614-293-6935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLEN",
"first_name": "BRADLEY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "EMC0007015",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.140944",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "75187-20",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "37599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.