In Mind & Body PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

IN MIND & BODY PC

Practice address

337 W 806 N
Valparaiso, IN 46385-7973

Phone

(773) 520-1950

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Bryan WaldoNPI 1982716486

Title

Owner

Phone

(773) 520-1950

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Waldo, M.D.

  • Nephrology Physician
  • Valparaiso, IN
  • NPI 1982716486
  NPD Authorized official

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1205541976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 W 806 N",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857973",
            "telephone_number": "773-520-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 W 806 N",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857973",
            "telephone_number": "773-520-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN MIND & BODY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "WALDO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-520-1950"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Marie Hyde, PT
• Muhammad Iftikhar, MBBS
• Chukwuka Charles Ikediashi, M.D
• Jenita Ikeljic, PHARM D
• Draga Ilievski, PH.D., LCSW
• In Touch Pharmaceuticals Inc
• Independent Loving Care Solutions, LLC
• Indiana Implant Institute, LLC
• Indiana Medical Group
• Indiana Physician Services LLC

• Nephrology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.