NPIMap

Individual provider Active NPI

Brian D Mulliken, MD

  • Orthopaedic Surgery Physician
  • Towson, MD
National Provider Identifier
1700808573
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0046198 Issued in MD
Practice address
8322 Bellona Ave
Suite 100
Towson, MD 21204-2012
Phone
(410) 337-7900
Fax
(410) 337-5321
NPI assigned
Jul 24, 2006
Last updated
Nov 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0046198 MD Primary

Addresses

Primary practice location

8322 Bellona Ave
Suite 100
Towson, MD 21204-2012

Mailing address

8322 Bellona Ave
Suite 100
Towson, MD 21204-2012
Phone (410) 337-7900

Other identifiers 1

IdentifierTypeStateIssuer
146951700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100218000648 MD Practitioner - Orthopedic Surgery 6204800238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Johns Hopkins University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

201 Plumtree Rd
Suite 301
Bel Air, MD 21015-6044
Phone (410) 569-8587

8322 Bellona Ave
Towson, MD 21204-2065

9110 Philadelphia Rd
Suite 308
Rosedale, MD 21237-4327
Phone (410) 569-8587

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement75
Knee replacement184
Lower limb (leg) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0046198MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Orthopaedics, LLC CurrentSince Feb 1, 2013 Accepting new patients
University of Maryland St. Joseph Orthopaedics, LLC Orthopaedic Surgery CurrentSince Feb 1, 2013 Accepting new patients
Orthopaedic Associates, PA Orthopaedic Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients

Locations

201 Plumtree Rd
Ste 301
Bel Air, MD 21015
Phone (410) 569-3326

9110 Philadelphia Rd
Ste 308
Rosedale, MD 21237
Phone (410) 337-7900

8322 Bellona Ave
Towson, MD 21204
Phone (410) 328-3645

8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

Interoperability endpoints

  • Direct secure messaging: bmulliken134171@direct.umm.edu
  • Direct secure messaging: brianmulliken@towsonorth.allscriptsdirect.net

Organizations & group practices 6

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 7

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1700808573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE",
            "address_2": "SUITE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042012",
            "telephone_number": "410-337-7900",
            "fax_number": "410-337-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE",
            "address_2": "SUITE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042012",
            "telephone_number": "410-337-7900",
            "fax_number": "410-337-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIKEN",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0046198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146951700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.