Individual provider Active NPI

Brandi Ann Graham-Wood, MIDWIFE, CDEM, CPM

  • Midwife
  • Fishers, IN
National Provider Identifier
1164699559
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
90000003A Issued in IN
Practice address
12840 Ford Dr Ste 100
Fishers, IN 46038-2894
Phone
(765) 643-9433
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 90000003A IN Primary

Addresses

Primary practice location

12840 Ford Dr Ste 100
Fishers, IN 46038-2894

Mailing address

12840 Ford Dr Ste 100
Fishers, IN 46038-2894
Phone (765) 643-9433

Other practice location 1

2616 Little John St
Anderson, IN 46013-9519
Phone (765) 643-9433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
90000003AINMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Home4Birth LLC Midwife Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

12840 Ford Dr
Ste 100
Fishers, IN 46038
Phone (765) 643-9433

Organizations & group practices 2

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1164699559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 FORD DR STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382894",
            "telephone_number": "765-643-9433",
            "fax_number": "765-250-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 FORD DR STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382894",
            "telephone_number": "765-643-9433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2616 Little John St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460139519",
            "country_code": "US",
            "telephone_number": "765-643-9433",
            "fax_number": "765-250-9389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM-WOOD",
        "first_name": "BRANDI",
        "middle_name": "ANN",
        "credential": "MIDWIFE, CDEM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "IN",
            "license": "90000003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.