Individual provider Active NPI

Brian M Cullison, MD

  • Emergency Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1952357097
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35080200C Issued in OH
Practice address
212 Coffee Rd Ste 100
Bakersfield, CA 93309-1273
Phone
(661) 885-6060
NPI assigned
May 26, 2006
Last updated
Jul 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2309335MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
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, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040518001277 NE Practitioner - Emergency Medicine 7618881673 Reassigns benefits to 1 organization
I20040702000439 OH Practitioner - Emergency Medicine 7618881673 Reassigns benefits to 3 organizations
I20190408001366 IN Practitioner - Emergency Medicine 7618881673 Reassigns benefits to 1 organization
I20210816003519 CA Practitioner - Emergency Medicine 7618881673 Reassigns benefits to 6 organizations

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
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

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 100Reported as group
Quality
94.64
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C170279CAMDEmergency Medicine Physician
35080200COHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Physicians of Nebraska LLC Emergency Medicine CurrentSince Feb 3, 2023 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2019 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 CurrentSince Apr 7, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 1, 2025 Accepting new patients
Midwest Emergency Grand Island Inc Emergency Medicine CurrentSince Jan 21, 2023 Accepting new patients
Permanente Medical Group Inc Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Apr 7, 2024 Accepting new patients
Emergency Medicine Physician Partners of El Dorado County, Inc Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Sep 1, 2021 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Sep 1, 2021 Accepting new patients
Knox Emergency Services, LLC Emergency Medicine CurrentSince Sep 7, 2013 Accepting new patients
Woodland Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jun 5, 2024 Accepting new patients
Wound MD PC CurrentSince Aug 10, 2021 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.

View all 24

Hospital & facility affiliations 2

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": "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": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.