Individual provider Active NPI

Brian Lauer, DO

  • Sports Medicine (Family Medicine) Physician
  • Shelbyville, IN
National Provider Identifier
1144719469
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
02005782A Issued in IN
Practice address
275 W Bassett Rd Ste 3
Shelbyville, IN 46176-8575
Phone
(317) 421-3265
Fax
(317) 398-1872
NPI assigned
May 2, 2018
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02005782A IN
Sports Medicine (Family Medicine) Physician 207QS0010X 02005782A IN Primary

Addresses

Primary practice location

275 W Bassett Rd Ste 3
Shelbyville, IN 46176-8575

Mailing address

30 W Rampart St Ste 200
Shelbyville, IN 46176-8846
Phone (317) 421-2012

Other identifiers 1

IdentifierTypeStateIssuer
300064855MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address majorhospital@direct.majorhospital.org Health Information Exchange (HIE)

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
I20220725000783 IN Practitioner - Family Practice 6800141250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Shelbyville, IN 46176-8581

275 W Bassett Rd
Shelbyville, IN 46176-8575

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Major Multispecialty Associates CurrentSince Aug 8, 2024 Accepting new patients
Major Multispecialty Associates Family Medicine CurrentSince Aug 8, 2024 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 20, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 20, 2022 Accepting new patients
Major Hospital Past Accepting new patients
Brock Hughes Free Clinic, Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

2125 State St
Ste 5
New Albany, IN 47150
Phone (502) 222-0028

1101 N Jim Day Rd
Ste 107B
Salem, IN 47167
Phone (812) 883-1253

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

275 W Bassett Rd
Shelbyville, IN 46176
Phone (317) 392-0003

275 W Bassett Rd
Ste 3
Shelbyville, IN 46176
Phone (317) 421-3265

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1144719469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST STE 200",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768846",
            "telephone_number": "317-421-2012",
            "fax_number": "317-398-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W BASSETT RD STE 3",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768575",
            "telephone_number": "317-421-3265",
            "fax_number": "317-398-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUER",
        "first_name": "BRIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005782A",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IN",
            "license": "02005782A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300064855",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "majorhospital@direct.majorhospital.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "275 W Bassett Rd Ste 3",
            "city": "Shelbyville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461768575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.