Douglas Bryant Hodge, CO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

CO001774 Issued in DE

Practice address

9591 Valparaiso CT
Indianapolis, IN 46268-1130

Phone

(317) 218-4270

Fax

(317) 218-4271

NPI assigned

Apr 12, 2018

Last updated

Apr 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Carmel Orthodesign, LLC

  dba Ortho Design

  • Prosthetic/Orthotic Supplier
  • Indianapolis, IN
  • NPI 1922441518

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1174020317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9591 VALPARAISO CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681130",
            "telephone_number": "317-218-4270",
            "fax_number": "317-218-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9591 VALPARAISO CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681130",
            "telephone_number": "317-218-4270",
            "fax_number": "317-218-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "DOUGLAS",
        "middle_name": "BRYANT",
        "name_prefix": "Mr.",
        "credential": "CO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "DE",
            "license": "CO001774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Hockett, FNP
• Samuel Alexander Hockley, LMHC
• Ami Hockman, LMT
• Zachary I Hodes, MD
• Courtney Dubay Hodge, M.S., SLP
• Ellen Hodge, MAPCC,LMHC
• James R Hodge, DO
• Jillian Hodge, DDS
• Kiara Nicole Hodge
• Richard Hodge

• Orthotist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Orthotist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.