Baruh Bruck Mulat, MD
Internal Medicine in Shelby, NC. Individual provider (NPI-1).
NPI number1053831008
StatusActive
Last updated in NPPESSep 25, 2025
Details
- NPI
- 1053831008
- Entity type
- Individual (NPI-1)
- Name
- Baruh Bruck Mulat
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2017
- Certification date
- Jun 18, 2024
- Last updated
- Sep 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GASTROENTEROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 2024-01374 | NC | Yes |
| 207RG0100X | Internal Medicine, Gastroenterology | 2024-01374 | NC |
Practice location
808 N Washington StShelby, NC 28150-3858
Phone 980-487-1400
Mailing address
Po Box 19305Charlotte, NC 28219-9305
Other practice locations
2301 Us Highway 74 W
Wadesboro, NC 28170-7554
Wadesboro, NC 28170-7554
Phone 704-994-4500
1000 Blythe Blvd
Charlotte, NC 28203-5812
Charlotte, NC 28203-5812
Phone 704-355-2000
1100 Blythe Blvd
Charlotte, NC 28203-5814
Charlotte, NC 28203-5814
Phone 704-355-4300
201 E Grover St
Shelby, NC 28150-3917
Shelby, NC 28150-3917
Phone 980-487-3000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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