DR. MATTHEW TRAVIS MULLANE MD MPH NPI 1720408479

NPI Information

  • NPI: 1720408479
  • Provider Name: DR. MATTHEW TRAVIS MULLANE, MD MPH
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 711 NE IRVING AVE
    BEND, OR
    ZIP 97701
  • Phone: (541) 255-1530

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NPI Details

DR. Matthew Travis Mullane, MD MPH is an addiction medicine preventive medicine in Bend, OR. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. DR. Matthew Travis Mullane, MD MPH NPI is 1720408479. 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:

711 NE IRVING AVE
BEND, OR
ZIP 97701-738
Phone: (541) 255-1530
Fax: (541) 219-5356

The NPI 1720408479 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin a1c level (HCPCS:83036)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 4/21/2014 and was last updated on 9/29/2025.

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
12083A0300XPreventive MedicineAddiction MedicineMD189798OREGONYes
2207Q00000XFamily MedicineDR.0056225COLORADONo
3207Q00000XFamily MedicineMD61336231WASHINGTONNo
4202D00000XIntegrative MedicineMD189798OREGONNo
5207Q00000XFamily MedicineMD189798OREGONNo

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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