Matthew Travis Mullane, MD MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD189798 Issued in OR

Practice address

711 NE Irving Ave
Bend, OR 97701-4738

Phone

(541) 255-1530

Fax

(541) 219-5356

NPI assigned

Apr 21, 2014

Last updated

Mar 31, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmullane24445@coipa.gardenplot.direct-ci.com
• Direct secure messaging: mmullane680898@direct.ochin.org

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.

• Ritual Medical LLC

  dba Peak Into Resilience

  • Family Medicine Physician
  • Bend, OR
  • NPI 1578283008
  Medicare reassignment Authorized official
• Mosaic Community Health

  dba Mosaic Medical

  • Federally Qualified Health Center (FQHC)
  • Prineville, OR
  • NPI 1083633184
  Medicare reassignment NPD
• Live Life Now Health Group PA

  dba Monument Telehealth Group

  • Addiction Medicine (Family Medicine) Physician
  • Yonkers, NY
  • NPI 1770111429

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1720408479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62472 QUAIL RIDGE RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NE IRVING AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014738",
            "telephone_number": "541-255-1530",
            "fax_number": "541-219-5356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 NW 9th St",
            "address_purpose": "LOCATION",
            "city": "Prineville",
            "state": "OR",
            "postal_code": "977541482",
            "country_code": "US",
            "telephone_number": "541-447-2631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62472 Quail Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977019553",
            "country_code": "US",
            "telephone_number": "541-255-1530",
            "fax_number": "541-219-5356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLANE",
        "first_name": "MATTHEW",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0056225",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61336231",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD189798",
            "primary": true
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "OR",
            "license": "MD189798",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OR",
            "license": "MD189798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Mozzochi
• Mara Mueller
• Krista Maria-Jo Mugavero
• Anne Hendrick Muir, LMFT, QMHP
• Jane Muir
• Sarah N Mullane
• Anne Mulligan-Brinson, LCSW
• Samantha Mullis, NNP
• Zachary Sean Munizza
• Amanda Rae Munk, M.D.

• Family Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.