NPIMap

Individual provider Active NPI

Brian P Mulhall, MD, MPH

  • Gastroenterology Physician
  • Tacoma, WA
National Provider Identifier
1720013832
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD00036760 Issued in WA
Practice address
1112 6TH Ave
Suite 200
Tacoma, WA 98405-4040
Phone
(253) 272-8664
Fax
(253) 404-1352
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD00036760 WA Primary

Addresses

Primary practice location

1112 6TH Ave
Suite 200
Tacoma, WA 98405-4040

Mailing address

1112 6TH Ave
Suite 200
Tacoma, WA 98405-4040
Phone (253) 272-8664

Other identifiers 3

IdentifierTypeStateIssuer
203859OtherWALABOR & INDUSTRIES
1212MUOtherREGENCE BLUE SHIELD
8439929MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20051208000387 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 5193746915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Saint Louis University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1112 6TH Ave
Suite 200
Tacoma, WA 98405-4048
Phone (253) 272-8664

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 426-6341

11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 426-6341

1608 S J St
Tacoma, WA 98405-4930

1617 S J St
Tacoma, WA 98405-4930
Phone (253) 426-6306

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977

6002 Westgate Blvd
Suite 230
Tacoma, WA 98406-2572
Phone (253) 272-8664

Hospital & facility affiliations

  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy82
Upper gastrointestinal (GI) endoscopy for acid reflux127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00036760WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Oct 1, 2011 Accepting new patients
Franciscan Medical Group CurrentSince Oct 1, 2011 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

424 29th St NE
Ste D
Puyallup, WA 98372

6002 Westgate Blvd
Ste 230
Tacoma, WA 98406
Phone (253) 761-2244

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

1112 6th Ave
Ste 200
Tacoma, WA 98405
Phone (253) 445-5750

Interoperability endpoints

  • Direct secure messaging: bmulhall17508@fhsce.catholichealth.net

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 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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1720013832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "SUITE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-8664",
            "fax_number": "253-404-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "SUITE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-8664",
            "fax_number": "253-404-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHALL",
        "first_name": "BRIAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00036760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "203859",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "1212MU",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8439929",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.