NPIMap

Individual provider Active NPI

Brian T Mulberry, MD

  • Family Medicine Physician
  • Cynthiana, KY
National Provider Identifier
1831145887
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38683 Issued in KY
Practice address
1210 Ky Highway 36 E
Suite 2 C
Cynthiana, KY 41031-7490
Phone
(859) 234-6000
Fax
(859) 234-6011
NPI assigned
May 25, 2006
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38683 KY Primary

Addresses

Primary practice location

1210 Ky Highway 36 E
Suite 2 C
Cynthiana, KY 41031-7490

Mailing address

1210 Ky Highway 36 E
Suite 2 C
Cynthiana, KY 41031-7490
Phone (859) 234-6000

Other identifiers 3

IdentifierTypeStateIssuer
0000000337046OtherKYANTHEM
79578580OtherKYAETNA
64090988MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040910000132 KY Practitioner - Family Practice 2062489057 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Associates, PSCGroup PAC ID 8820995814, 5 clinicians

Practice addresses (Care Compare)

1210 Ky Hwy 36 E
Suite 2C
Cynthiana, KY 41031-7492
Phone (859) 234-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Memorial Hospital CurrentSince Dec 31, 2022 Accepting new patients
Harrison Memorial Hospital CurrentSince Dec 31, 2022 Accepting new patients
Harrison Memorial Hospital Inc Family Medicine CurrentSince Dec 31, 2022 Accepting new patients
Family Care Associates, PSC Family Medicine CurrentSince Aug 1, 2004 Accepting new patients
Harrison Memorial Hospital Past Accepting new patients

Locations

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

1210 KY Highway 36 E
Ste 2C
Cynthiana, KY 41031
Phone (859) 234-6000

1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-9222

439 E Pleasant St
Cynthiana, KY 41031
Phone (859) 234-4494

1102 W Shelby St
Falmouth, KY 41040
Phone (859) 654-3232

1120 W Shelby St
#A
Falmouth, KY 41040
Phone (859) 654-6966

Interoperability endpoints

  • Direct secure messaging: brian.mulberry@fca.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1831145887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E",
            "address_2": "SUITE 2 C",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317490",
            "telephone_number": "859-234-6000",
            "fax_number": "859-234-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E",
            "address_2": "SUITE 2 C",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317490",
            "telephone_number": "859-234-6000",
            "fax_number": "859-234-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULBERRY",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0000000337046",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "79578580",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64090988",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.