Individual provider Active NPI

Bryan E Maddox, NP

  • Family Nurse Practitioner
  • Madison, IN
National Provider Identifier
1215687058
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012403A Issued in IN
Practice address
445 Clifty Dr
Madison, IN 47250-1607
Phone
(812) 273-5372
Fax
(812) 273-5741
NPI assigned
Mar 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012403A IN Primary
Family Nurse Practitioner 363LF0000X CS0365835 IN

Addresses

Primary practice location

445 Clifty Dr
Madison, IN 47250-1607

Mailing address

4715 N 350 W
Madison, IN 47250-8043
Phone (765) 717-1790

Other practice location 1

3118 E 10th St Ste C
Jeffersonville, IN 47130-5904
Phone (812) 280-9355

Other practice location 2

1373 E State Road 62
Madison, IN 47250-7328
Phone (812) 801-0152

Other practice location 3

3605 Northgate Ct Ste 110
New Albany, IN 47150-6400
Phone (812) 949-5749

Other practice location 4

1373 E State Road 62
Madison, IN 47250-7328
Phone (812) 801-0152

Other practice location 5

1373 E State Road 62 Ste 2B
Madison, IN 47250-7328
Phone (812) 273-5372

Other practice location 6

2051 Clevidence Blvd Ste A
Clarksville, IN 47129-2278
Phone (812) 282-1720

Other identifiers 2

IdentifierTypeStateIssuer
300062802MedicaidIN
7100813710MedicaidKY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510002136 IN Practitioner - Nurse Practitioner 3971980046 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

3516 E 10TH St
Jeffersonville, IN 47130-9315
Phone (812) 981-8970

445 Clifty Dr
Madison, IN 47250-1607
Phone (812) 273-5372

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CS0365835INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince May 1, 2022 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Cep America LLC CurrentSince Dec 27, 2023 Accepting new patients
Community Medical Associates, Inc. Family CurrentSince Jan 1, 2025 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince May 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Cep America LLC Current Accepting new patients
Cep America LLC CurrentSince Dec 27, 2023 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Chest Medicine Associates P.S.C. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720

3118 E 10th St
Ste C
Jeffersonville, IN 47130
Phone (812) 280-9355

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

445 E Clifty Dr
Madison, IN 47250

445 Clifty Dr
Madison, IN 47250
Phone (812) 273-5372

1373 E State Road 62
Ste 2B
Madison, IN 47250
Phone (812) 273-5372

3605 Northgate Ct
Ste 110
New Albany, IN 47150
Phone (812) 949-5749

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1215687058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 N 350 W",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472508043",
            "telephone_number": "765-717-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501607",
            "telephone_number": "812-273-5372",
            "fax_number": "812-273-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3118 E 10th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471305904",
            "country_code": "US",
            "telephone_number": "812-280-9355",
            "fax_number": "812-285-1487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1373 E State Road 62",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0152",
            "fax_number": "812-801-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3605 Northgate Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471506400",
            "country_code": "US",
            "telephone_number": "812-949-5749",
            "fax_number": "812-949-5794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1373 E State Road 62",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0152",
            "fax_number": "812-801-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1373 E State Road 62 Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-273-5372",
            "fax_number": "812-801-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 Clevidence Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "471292278",
            "country_code": "US",
            "telephone_number": "812-282-1720",
            "fax_number": "812-280-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "BRYAN",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012403A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "CS0365835",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300062802",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100813710",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.