Individual provider Active NPI

Brandi Eastman Stevens, M.D., M.S.C.R.

  • Pediatric Rheumatology Physician
  • Indianapolis, IN
National Provider Identifier
1063704112
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
01078862 Issued in IN
Practice address
699 Riley Hospital Dr
Indianapolis, IN 46202-5119
Phone
(317) 274-2172
Fax
(317) 278-3031
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 01078862 IN Primary

Addresses

Primary practice location

699 Riley Hospital Dr
Indianapolis, IN 46202-5119

Mailing address

PO Box 1026
Indianapolis, IN 46206-1026
Phone (317) 777-6435

Other names 1

  • Brandi D Eastman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bstevens4@direct.iuhealth.org

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
I20170727002072 IN Practitioner - Pediatric Medicine 6507136207 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01078862INMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatric Associates, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Major Hospital Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

705 Riley Hospital Dr
#307
Indianapolis, IN 46202
Phone (317) 274-2172

699 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-2172

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

699 Riley Hospital Dr
Rm 307
Indianapolis, IN 46202

Interoperability endpoints

  • Direct secure messaging: bstevens4@direct.iuhealth.org

Organizations & group practices 3

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1063704112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1026",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061026",
            "telephone_number": "317-777-6435",
            "fax_number": "317-777-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 RILEY HOSPITAL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025119",
            "telephone_number": "317-274-2172",
            "fax_number": "317-278-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "BRANDI",
        "middle_name": "EASTMAN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.C.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "IN",
            "license": "01078862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bstevens4@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "699 Riley Hospital Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "EASTMAN",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.