Brian C Mulhall, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

10037 Issued in TX

Practice address

3600 Hulen St
Ste A4
Fort Worth, TX 76107-6863

Phone

(817) 332-5353

Fax

(817) 332-5358

NPI assigned

Mar 20, 2006

Last updated

Dec 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Brian Mulhall, PA

  dba Active Spine & Sport Therapy

  • Sports Physician Chiropractor
  • Fort Worth, TX
  • NPI 1841389293
  Medicare reassignment NPD Authorized official
• Bronson Clinic, Inc.

  • Orthopedic Chiropractor
  • Fort Worth, TX
  • NPI 1225231715
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356739200000",
    "number": "1972562981",
    "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": {
        "last_name": "MULHALL",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilia Iya Maseki Mukete
• Jeaniece P Mukherjee, CRNA
• Partha Mukherji, DDS
• Mallikarjuna R. Mukka, M.D.
• Tarneisha Mukoko
• Shannon Marie Mulhollan, MOT/OTR
• Hilery Diane Moore Mulholland
• Bertram S. Mullan, M.D.
• Conor Anthony Mullarkey, LCDC
• Maggie Mullen, RD

• Sports Physician Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Sports Physician Chiropractor in Texas

• 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.

Verify at the official NPI Registry.