NPIMap

Individual provider Active NPI

Brian R Dulin, MD

  • Cardiovascular Disease Physician
  • Greenville, OH
National Provider Identifier
1841497203
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
49098 Issued in TN
Practice address
122 Martz St
Greenville, OH 45331-1052
Phone
(937) 569-6707
Fax
(937) 459-5063
NPI assigned
Jun 29, 2007
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49098 TN
Cardiovascular Disease Physician 207RC0000X 49098 TN Primary

Addresses

Primary practice location

122 Martz St
Greenville, OH 45331-1052

Mailing address

835 Sweitzer St
Greenville, OH 45331-1007
Phone (937) 569-6931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171030002940 OH Practitioner - Cardiovascular Disease (Cardiology) 5193818839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayne Hospital Company Professional Services LLCGroup PAC ID 3476695354, 11 clinicians

Practice addresses (Care Compare)

122 Martz St
Greenville, OH 45331-1052
Phone (937) 569-6707

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.11 of 100Reported as group
Quality
98
Promoting interoperability
99
Improvement activities
40
Cost
79.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP312KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Internal Medicine Current Accepting new patients
Wayne Hospital Company Professional Services LLC Internal Medicine CurrentSince Apr 19, 2023 Accepting new patients
Premier Health Specialists Inc CurrentSince Oct 16, 2017 Accepting new patients
Premier Health Specialists Inc CurrentSince Oct 16, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

122 Martz St
Greenville, OH 45331
Phone (937) 459-5057

742 Sweitzer St
Ste 1
Greenville, OH 45331
Phone (937) 276-8320

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

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 5

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1841497203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311007",
            "telephone_number": "937-569-6931",
            "fax_number": "937-547-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MARTZ ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311052",
            "telephone_number": "937-569-6707",
            "fax_number": "937-459-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULIN",
        "first_name": "BRIAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "49098",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "49098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.