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

Timothy Edward Mulberry

Individual provider Physician Assistant · NPI 1649975012

Timothy Edward Mulberry is a Physician Assistant in McKinney, Texas. Qualified in 2023, 3 years ago. Practices with Bridgeport Hospital, a 137-clinician group and accepts Medicare assignment. Licensed in Connecticut and Texas.

Years since qualifying
3
Licensed in
CT, TX
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

4500 Medical Center Dr
McKinney, TX 75069-1650
Phone: (972) 547-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TX19753 (TX)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 6138 (CT)

Record details

NPI number1649975012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address796 Knapps Hwy, Fairfield, CT 06825-4208

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Bridgeport Hospital — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in McKinney