Active NPI
Bryant Patrick Mullaney, BA
- Case Manager/Care Coordinator
- Rock Springs, WY
National Provider Identifier
1992865893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2300 Foothill Blvd.
Rock Springs, WY 82901 - Phone
- (307) 352-6677
- Fax
- (307) 352-6614
- NPI assigned
- Dec 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2300 Foothill Blvd.
Rock Springs, WY 82901
Mailing address
2300 Foothill Blvd.
Rock Springs, WY 82901
Phone (307) 352-6677
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)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992865893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 FOOTHILL BLVD.",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "82901",
"telephone_number": "307-352-6677",
"fax_number": "307-352-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 FOOTHILL BLVD.",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "82901",
"telephone_number": "307-352-6677",
"fax_number": "307-352-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLANEY",
"first_name": "BRYANT",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.