Active NPI
Brian McCullagh, MD
- Pulmonary Disease Physician
- Iowa, IA
National Provider Identifier
1871849208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- R9350
- Practice address
- 200 Hawkins Drive,
C33 GH
Iowa, IA 52242 - Phone
- (319) 353-6239
- NPI assigned
- Aug 3, 2012
- Last updated
- Aug 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | R9350 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Drive,
C33 GH
Iowa, IA 52242
Mailing address
103 Grove St
Iowa City, IA 52246-2301
Phone (319) 400-5124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1871849208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 GROVE ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462301",
"telephone_number": "319-400-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE,",
"address_2": "C33 GH",
"city": "IOWA",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-353-6239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLAGH",
"first_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "R9350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.