Organization Active NPI

Brooks M Mullen MD PA

  • Otolaryngology Physician
  • Seguin, TX
National Provider Identifier
1811060080
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
F9859 Issued in TX
Legal business name
BROOKS M MULLEN MD PA
Practice address
515 E Court St
Suite 300
Seguin, TX 78155-5750
Phone
(830) 372-0307
Fax
(830) 372-2153
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Brooks M Mullen, MD
Title
President
Phone
(830) 372-0307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X F9859 TX Primary

Addresses

Primary practice location

515 E Court St
Suite 300
Seguin, TX 78155-5750

Mailing address

515 E Court St
Suite 300
Seguin, TX 78155-5750
Phone (830) 372-0307

Other identifiers 1

IdentifierTypeStateIssuer
1578558938OtherTXNPI

Other names 1

  • Seguin Ear Nose and Throat Doing business as

National Provider Directory

National Provider Directory

Locations

908 E Court St
Ste 2
Seguin, TX 78155
Phone (830) 372-0307

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1811060080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E COURT ST",
            "address_2": "SUITE 300",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555750",
            "telephone_number": "830-372-0307",
            "fax_number": "830-372-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E COURT ST",
            "address_2": "SUITE 300",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555750",
            "telephone_number": "830-372-0307",
            "fax_number": "830-372-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS M MULLEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-372-0307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "F9859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578558938",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seguin Ear Nose and Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.