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DR. SCOTT BRADLEY MUTCHLER MD
NPI 1942236419
Pediatrics - Pediatric Critical Care Medicine in Fargo, ND

Active since June 24, 2006
3000 32ND AVE S, FARGO, ND 58103(701) 364-8000 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2018, Mar 23, 2016 (2 updates tracked since 2016).

About Dr. Scott Bradley Mutchler Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT BRADLEY MUTCHLER MD (NPI 1942236419) is an individual pediatric critical care medicine provider in Fargo, North Dakota, licensed in North Dakota (5699) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1942236419
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. SCOTT BRADLEY MUTCHLERCredential: MD
Location Address3000 32ND AVE SFargo, ND 58103-6132
Mailing Address400 East Third Street, Mcl2credDuluth, MN 55805-1951 · (218) 786-1183
Phone(701) 364-8000
Sole ProprietorNo
Enumeration DateJune 24, 2006
Last NPPES UpdateOctober 11, 20182 updates tracked since enumeration
✔ NPI 1942236419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in ND · 5699
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedHospitalistTaxonomy 208M00000X · License 5699 (ND)
3000 32ND AVE S, Fargo, ND 58103
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Other Names 1

Other Name (5)Scott Bradley Mutchler

Other Identifiers 2

Medicaid202065421MO
Medicaid269757200FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZENA KAY HOMAN M.D.
Obstetrics & Gynecology
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
DR. ADAM JOHN DEFOE M.D.
Radiology (Diagnostic Radiology)
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
LESLIE ANNE MYER OTR/L
Occupational Therapist
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
ABDALLAH M MANSOUR MD
Internal Medicine (Cardiovascular Disease)
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8900
DR. JOAN L VIETS PHARM.D.
Pharmacist
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8140
ZACHARY JOSEPH ERNST M.D.
Surgery
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
MR. NICHOLAS HENRY FREDERIKSEN APRN,CNP
Nurse Practitioner (Adult Health)
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
MUHAMMAD WAQAS MD
Hospitalist
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Mutchler's NPI number?

The NPI number for Scott Mutchler is 1942236419. It was assigned to this individual provider in the NPPES registry on June 24, 2006. The provider is also known as Scott Bradley Mutchler.

Where is Scott Mutchler located?

Scott Mutchler practices at 3000 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 364-8000.

What is Scott Mutchler's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Scott Mutchler was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.