BRUCE ROGER MCMULLEN MD NPI 1073574562

NPI Information

  • NPI: 1073574562
  • Provider Name: BRUCE ROGER MCMULLEN, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 1122 SOUTH CLIFTON
    WICHITA, KS
    ZIP 67218
  • Phone: (316) 682-5012

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NPI Details

Bruce Roger Mcmullen, MD is an internal medicine in Wichita, KS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Bruce Roger Mcmullen, MD NPI is 1073574562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1122 SOUTH CLIFTON
WICHITA, KS
ZIP 67218-913
Phone: (316) 682-5012
Fax: (316) 652-9510

The enumeration date for this NPI number is 4/1/2006 and was last updated on 1/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine0418744KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B68394MEDICARE UPIN
20004084117OTHERAETNA INS
3110004044OTHERPALMETTO GBA RAILROAD MED
4100199260BMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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