Active NPI
Dr. Brian Mulhall, PA
- Sports Physician Chiropractor
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 10037
- Legal business name
- DR. BRIAN MULHALL, PA
- Practice address
- 3600 Hulen St
Ste A4
Fort Worth, TX 76107-6863 - Phone
- (817) 332-5353
- Fax
- (817) 332-5358
- NPI assigned
- Oct 12, 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
- Dr. Brian C Mulhall, DC
- Title
- Owner/President
- Phone
- (817) 332-5353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 10037 | TX | Primary |
Addresses
Primary practice location
3600 Hulen St
Ste A4
Fort Worth, TX 76107-6863
Mailing address
3600 Hulen St
Ste A4
Fort Worth, TX 76107-6863
Phone (817) 332-5353
Other names 1
- Active Spine & Sport Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5521 Bellaire Dr S
Ste 100
Fort Worth, TX 76109
Phone (817) 723-4441
3600 Hulen St
Ste A4
Fort Worth, TX 76107
Phone (817) 332-5353
3200 Collinsworth St
Fort Worth, TX 76107
Phone (817) 332-5353
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Fort Worth, TX
- NPI 1972562981
-
- Orthopedic Chiropractor
- Benbrook, TX
- NPI 1396719472
-
- Chiropractor
- Fort Worth, TX
- NPI 1639719115
-
- Chiropractor
- Fort Worth, TX
- NPI 1437302445
-
- Orthopedic Chiropractor
- Fort Worth, TX
- NPI 1952320756
-
- Chiropractor
- Belt, MT
- NPI 1639321185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356739200000",
"number": "1841389293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 HULEN ST",
"address_2": "STE A4",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076863",
"telephone_number": "817-332-5353",
"fax_number": "817-332-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 HULEN ST",
"address_2": "STE A4",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076863",
"telephone_number": "817-332-5353",
"fax_number": "817-332-5358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. BRIAN MULHALL, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2012-12-29",
"status": "A",
"authorized_official_last_name": "MULHALL",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "817-332-5353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "10037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Spine & Sport Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.