Individual provider Active NPI

Justin Brandon Anderson, MD

  • Family Medicine Physician
  • Muncie, IN
National Provider Identifier
1235459355
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01072226A Issued in IN
Practice address
2401 W University Ave
Muncie, IN 47303-3428
Phone
(765) 741-1515
Fax
(765) 751-5087
NPI assigned
Jun 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01072226A IN
Family Medicine Physician 207Q00000X 01072226A IN Primary

Addresses

Primary practice location

2401 W University Ave
Muncie, IN 47303-3428

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 3

IdentifierTypeStateIssuer
M22404099OtherINMEDICARE PTAN
201094940MedicaidIN
P01253299OtherINRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jander22@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130917000018 IN Practitioner - Family PracticePractitioner - Hospitalist 3274771464 Reassigns benefits to 2 organizations
I20250822001309 FL Practitioner - Family Practice 3274771464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana University Health Ball Memorial Physicians IncGroup PAC ID 9537072640, 286 clinicians
Hospital Physician Services of Florida PAGroup PAC ID 7012201965, 212 clinicians

Practice addresses (Care Compare)

221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 747-3141

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000

Hospital & facility affiliations

  • HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254
  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Doctors Memorial Hospital Inc Hospital, Perry, FL, CCN 101314
  • Madison County Memorial Hospital Hospital, Madison, FL, CCN 101311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Apr 14, 2024 Accepting new patients
Hospital Physician Services of Florida PA Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Hospitalist CurrentSince Jul 1, 2016 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Apr 14, 2024 Accepting new patients

Locations

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

3832 Solutions Ctr
Chicago, IL 60677

600 Richard Gordon Hatcher Blvd
Gary, IN 46402
Phone (219) 886-4404

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

Interoperability endpoints

  • Direct secure messaging: jander22@direct.iuhealth.org

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.

Hospital & facility affiliations 4

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1235459355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-741-1515",
            "fax_number": "765-751-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JUSTIN",
        "middle_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01072226A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01072226A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M22404099",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201094940",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01253299",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jander22@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "2401 W University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.