Active NPI
Brooks M Mullen MD PA
- Otolaryngology Physician
- Seguin, TX
National Provider Identifier
1811060080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- F9859
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578558938 | Other | TX | NPI |
Other names 1
- Seguin Ear Nose and Throat
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Kenedy, TX
- NPI 1730526377
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.