Individual provider Active NPI

Ragan Brackett, MD, MBA

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1164834917
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01078509A Issued in IN
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

Updated by the provider on Oct 7, 2025

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 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

IdentifierTypeStateIssuer
300017151MedicaidIN
201231490MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814003141 IN Practitioner - Family Practice 4486875002 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01078509AINMDFamily Medicine Physician
11017892AINMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Sep 25, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Oct 3, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 24, 2018 Accepting new patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Sep 24, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.