Active NPI
Brian M Cullison, MD
- Emergency Medicine Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35080200C
- Practice address
- 212 Coffee Rd Ste 100
Bakersfield, CA 93309-1273 - Phone
- (661) 885-6060
- NPI assigned
- May 26, 2006
- Last updated
- Jul 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01062801A | IN | |
| Emergency Medicine Physician | 207P00000X | C170279 | CA | |
| Emergency Medicine Physician | 207P00000X | 35080200C | OH | Primary |
Addresses
Primary practice location
212 Coffee Rd Ste 100
Bakersfield, CA 93309-1273
Mailing address
1490 Stonehaven Ave
Broomfield, CO 80020-2428
Phone (720) 202-0575
Other practice location 1
8701 Old Troy Pike
Huber Heights, OH 45424-1066
Phone (937) 558-3338
Other practice location 2
450 Washington Jackson Rd Ste F
Eaton, OH 45320-8699
Phone (937) 456-8376
Other practice location 3
1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2500
Other practice location 4
1997 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 401-6228
Other practice location 5
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8166
Other practice location 6
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4500
Other practice location 7
600 W Main St
Troy, OH 45373-2928
Phone (937) 980-7010
Other practice location 8
6147 State Route 122
Middletown, OH 45005-5201
Phone (513) 261-3410
Other practice location 9
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 384-8791
Other practice location 10
100 Kettering Way
Franklin, OH 45005-1155
Phone (937) 458-4700
Other practice location 11
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2309335 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, OH, IN, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of California, San Francisco School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 S Main St
Walnut Creek, CA 94596-5318
Phone (925) 295-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.12 of 100
- Quality
- 94.64
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C170279 | CA | MD | Emergency Medicine Physician |
| 35080200C | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Century Physicians of Nebraska LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| New Century Physicians of Nebraska LLC | Emergency Medicine | Current | Accepting new patients |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Nes Western Group, a Professional Corporation | Emergency Medicine | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Midwest Emergency Grand Island Inc | Emergency Medicine | Current | Accepting new patients |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Nes Western Group, a Professional Corporation | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physician Partners of El Dorado County, Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| Knox Emergency Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Woodland Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Wound MD PC | Current | Accepting new patients | |
| Ohio Em-I Medical Services, Professional Association | Past | Accepting new patients | |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Pegasus Emergency Group Wyoming LLC | Emergency Medicine | Past | Accepting new patients |
| Oregon Trail Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Past | Accepting new patients |
| East Morgan County Hospital | Past | Accepting new patients | |
| Erie Banks Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 32)
3415 W Ball Rd
Anaheim, CA 92804
Phone (714) 826-8950
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060
9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741
1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
1209 Hemlock Way
Santa Ana, CA 92707
Phone (714) 546-1966
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
1425 S Main St
Walnut Creek, CA 94596
Phone (925) 295-4130
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Organizations & group practices 24
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Emergency Medicine
-
- Emergency Medicine Physician
- Placerville, CA
- NPI 1619278660
-
dba Accelerated Urgent Care
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1689963845
-
- Emergency Medicine Physician
- Porterville, CA
- NPI 1487125019
-
- Emergency Medicine Physician
- Woodland, CA
- NPI 1881868164
-
- General Practice Physician
- Petaluma, CA
- NPI 1942606744
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Emergency Medicine Physician
- Mount Vernon, OH
- NPI 1861450066
-
- Emergency Medicine Physician
- Grand Island, NE
- NPI 1508357930
-
- Emergency Medicine Physician
- Elyria, OH
- NPI 1235172925
-
- Emergency Medicine Physician
- Steubenville, OH
- NPI 1831145275
-
dba Accelerated Urgent Care
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1629442728
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaiser Foundation Hospital Walnut Creek
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1639244262
-
dba Kaiser Foundation Hospital Antioch
- General Acute Care Hospital
- Antioch, CA
- NPI 1851417547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720310400000",
"number": "1952357097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 STONEHAVEN AVE",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202428",
"telephone_number": "720-202-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 COFFEE RD STE 100",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933091273",
"telephone_number": "661-885-6060"
}
],
"practiceLocations": [
{
"address_1": "8701 Old Troy Pike",
"address_purpose": "LOCATION",
"city": "Huber Heights",
"state": "OH",
"postal_code": "454241066",
"country_code": "US",
"telephone_number": "937-558-3338",
"fax_number": "937-558-3349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Washington Jackson Rd Ste F",
"address_purpose": "LOCATION",
"city": "Eaton",
"state": "OH",
"postal_code": "453208699",
"country_code": "US",
"telephone_number": "937-456-8376",
"fax_number": "937-456-8377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1141 N Monroe Dr",
"address_purpose": "LOCATION",
"city": "Xenia",
"state": "OH",
"postal_code": "453851619",
"country_code": "US",
"telephone_number": "937-352-2500",
"fax_number": "937-352-3501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1997 Miamisburg Centerville Rd",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454593811",
"country_code": "US",
"telephone_number": "937-401-6228",
"fax_number": "937-401-6447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291221",
"country_code": "US",
"telephone_number": "937-395-8166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Pentagon Blvd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454311705",
"country_code": "US",
"telephone_number": "937-702-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Main St",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453732928",
"country_code": "US",
"telephone_number": "937-980-7010",
"fax_number": "937-980-7019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6147 State Route 122",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450055201",
"country_code": "US",
"telephone_number": "513-261-3410",
"fax_number": "513-261-3419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Miamisburg Centerville Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453427615",
"country_code": "US",
"telephone_number": "937-384-8791",
"fax_number": "937-384-8729",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Kettering Way",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "OH",
"postal_code": "450051155",
"country_code": "US",
"telephone_number": "937-458-4700",
"fax_number": "937-458-4737",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Grand Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454057538",
"country_code": "US",
"telephone_number": "937-723-3211",
"fax_number": "937-723-4609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULLISON",
"first_name": "BRIAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2024-07-07",
"certification_date": "2024-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01062801A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C170279",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35080200C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2309335",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "c-cda",
"address_1": "1425 S Main St",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "945965318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.