Individual provider Active NPI

James Mullen, MD

  • Emergency Medicine Physician
  • Brunswick, ME
National Provider Identifier
1770663312
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
015374 Issued in ME
Practice address
123 Medical Center Dr
Mid Coast Hospital
Brunswick, ME 04011-2652
Phone
(207) 729-0181
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 015374 ME Primary

Addresses

Primary practice location

123 Medical Center Dr
Mid Coast Hospital
Brunswick, ME 04011-2652

Mailing address

174 S Freeport Rd
Freeport, ME 04032-6145
Phone (207) 865-1819

Other identifiers 8

IdentifierTypeStateIssuer
AA48943OtherMEHARVARD PILGRIM
3844033OtherMEAETNA
8203907OtherMECIGNA
061435OtherMEANTHEM
432026499MedicaidME
1770663312OtherMETRICARE
010453642OtherMEGREAT WEST/ONE HEALTH
P00302743OtherMERR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, VT, MA, NH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040407000301 ME Practitioner - Emergency Medicine 5294728093 Reassigns benefits to 7 organizations
I20190426000457 VT Practitioner - Emergency Medicine 5294728093 Reassigns benefits to 2 organizations
I20200109001185 MA Practitioner - Emergency Medicine 5294728093 Reassigns benefits to 4 organizations
I20240329002784 NH Practitioner - Emergency Medicine 5294728093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Connecticut School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluewater Emergency Partners of Brunswick, LLCGroup PAC ID 3375774227, 151 clinicians

Practice addresses (Care Compare)

123 Medical Ctr Dr
Brunswick, ME 04011-2652
Phone (207) 373-6000

243 Elm St
Claremont, NH 03743-4921
Phone (603) 542-7771

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015374MEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 1, 2013 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Apr 1, 2017 Accepting new patients
Medical Associates of Ebnhc Current Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Jan 1, 2020 Accepting new patients
York Hospital CurrentSince Sep 23, 2024 Accepting new patients
Springfield Hospital .Inc CurrentSince Jan 1, 2021 Accepting new patients
Nantucket Cottage Hospital CurrentSince Nov 9, 2019 Accepting new patients
Down East Community Hospital CurrentSince Apr 18, 2016 Accepting new patients
Springfield Hospital Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Houlton Regional Hospital CurrentSince Mar 11, 2018 Accepting new patients
Neighborhealth Corporation CurrentSince Jan 1, 2020 Accepting new patients
Nantucket Physicians Organization CurrentSince Nov 9, 2019 Accepting new patients
Seacoast Pathology Inc Current Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
Houlton Regional Hospital CurrentSince Mar 11, 2018 Accepting new patients
Nantucket Cottage Hospital CurrentSince Nov 9, 2019 Accepting new patients
Mainehealth CurrentSince Dec 1, 2020 Accepting new patients
Down East Community Hospital CurrentSince Apr 18, 2016 Accepting new patients

Locations

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

329 Maine St
Mere Point, ME 04011
Phone (207) 373-2250

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

149 North St
Waterville, ME 04901
Phone (207) 622-1959

114 Sanford Rd
Wells, ME 04090
Phone (207) 641-8044

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

243 Elm St
Claremont, NH 03743
Phone (603) 542-7771

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • Direct secure messaging: vrhjmulle@yourcarecommunity.org
  • Direct secure messaging: mullen.james.nch@direct.partners.masshiway.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
  • Direct secure messaging: jmullen27942@direct.neighborhealth.masshiway.net

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 and National Provider Directory roles.

View all 19

Hospital & facility affiliations 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1770663312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S FREEPORT RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326145",
            "telephone_number": "207-865-1819",
            "fax_number": "207-865-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDICAL CENTER DR",
            "address_2": "MID COAST HOSPITAL",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112652",
            "telephone_number": "207-729-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "015374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA48943",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3844033",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8203907",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "061435",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432026499",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1770663312",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST/ONE HEALTH",
            "identifier": "010453642",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00302743",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.