Individual provider Active NPI

Bryan M Sharpe, MD

  • Family Medicine Physician
  • Noblesville, IN
National Provider Identifier
1063499085
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01050929 Issued in IN
Practice address
601A Westfield Rd
Noblesville, IN 46060-1323
Phone
(317) 776-3456
Fax
(317) 776-3457
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01050929 IN Primary

Addresses

Primary practice location

601A Westfield Rd
Noblesville, IN 46060-1323

Mailing address

PO Box 775985
Chicago, IL 60677-5985
Phone (317) 770-6900

Other identifiers 2

IdentifierTypeStateIssuer
200246090AMedicaidIN
080190160OtherINMEDICARE RR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsharpe791511@DirectC.mercy.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071228000315 IN Practitioner - Family Practice 2466532742 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Dec 5, 2021 Accepting new patients
Riverview Hospital Family Medicine CurrentSince Sep 27, 2020 Accepting new patients
Riverview Hospital CurrentSince Nov 1, 2015 Accepting new patients
Riverview Hospital CurrentSince Nov 1, 2015 Accepting new patients
Emergency Physicians of Delaware County, P.C. Past Accepting new patients
Major Hospital Past Accepting new patients
Riverview Hospital Past Accepting new patients

Locations

18051 River Rd
Ste 200
Noblesville, IN 46062
Phone (317) 329-7430

601A Westfield Rd
Noblesville, IN 46060
Phone (317) 776-1071

865 Westfield Rd
Ste A
Noblesville, IN 46062
Phone (317) 773-2222

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

601 Westfield Rd
#A
Noblesville, IN 46060
Phone (317) 776-1071

587 Westfield Rd
Noblesville, IN 46060

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Interoperability endpoints

  • Direct secure messaging: bsharpe791511@directc.mercy.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1063499085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601A WESTFIELD RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601323",
            "telephone_number": "317-776-3456",
            "fax_number": "317-776-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "BRYAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200246090A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "080190160",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsharpe791511@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601A Westfield Rd",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460601323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.