Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bradley Robert Mullen, MD

Individual provider Diagnostic Radiology Physician · NPI 1336253632

Dr. Bradley Robert Mullen, MD is a Diagnostic Radiology in Wausau, Wisconsin. Qualified in 2006, 20 years ago. Practices with Somc Medical Care Foundation, Inc, a 382-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Michigan, Ohio and Wisconsin.

Years since qualifying
20
Licensed in
AZ, MI, OH, WI
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone: (715) 847-2283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 395 W 12th Ave, Columbus, OH 43210-1267 — (614) 293-8315

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 37599 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence EMC0007015 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.140944 (OH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 75187-20 (WI)

Record details

NPI number1336253632
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Somc Medical Care Foundation, Inc. — 382 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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