Active NPI
Ragan Brackett, MD, MBA
- Family Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01078509A
- Practice address
- 10122 E 10TH St
Suite 100
Indianapolis, IN 46229 - Phone
- (317) 355-5717
- Fax
- (317) 355-3760
- NPI assigned
- May 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01078509A | IN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11017892A | IN |
Addresses
Primary practice location
10122 E 10TH St
Suite 100
Indianapolis, IN 46229
Mailing address
6626 E 75TH
Ste 500
Indianapolis, IN 46250-2890
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300017151 | Medicaid | IN | |
| 201231490 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbrackett125450@eCommunityDirect.com | Community Hospitals of Indiana, INC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01078509A | IN | MD | Family Medicine Physician |
| 11017892A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Family Medicine | Current | Accepting new patients |
| DRH Medical Group | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437
501 S Murphy Ave
Brazil, IN 47834
Phone (812) 442-0403
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
10122 E 10th St
Ste 100
Indianapolis, IN 46229
Phone (317) 355-5717
7910 E Washington St
Ste 110
Indianapolis, IN 46219
Phone (317) 355-3200
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
2905 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5491
251 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-6158
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Interoperability endpoints
- rbrackett125450@ecommunitydirect.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba Community Physician Network
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- Carmel, IN
- NPI 1992396337
-
- Urgent Care Clinic/Center
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- NPI 1790560225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1164834917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH",
"address_2": "STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10122 E 10TH ST",
"address_2": "SUITE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46229",
"telephone_number": "317-355-5717",
"fax_number": "317-355-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKETT",
"first_name": "RAGAN",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01078509A",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11017892A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300017151",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201231490",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbrackett125450@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Hospitals of Indiana, INC",
"address_1": "10122 E 10th St",
"address_2": "suite 100",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "46229",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.