Organization Active NPI

Premier Integrated Health P.C.

  • Physical Medicine & Rehabilitation Physician
  • Indianapolis, IN
National Provider Identifier
1265956007
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
81510597 Issued in IN
Legal business name
PREMIER INTEGRATED HEALTH P.C.
Practice address
4082 Pendleton Way
Indianapolis, IN 46226-5224
Phone
(317) 546-1915
Fax
(317) 546-1920
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brian Nordeen, D.C.
Title
Owner
Phone
(317) 546-1915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 81510597 IN Primary

Addresses

Primary practice location

4082 Pendleton Way
Indianapolis, IN 46226-5224

Mailing address

4082 Pendleton Way
Indianapolis, IN 46226-5224
Phone (317) 546-1915

Other names 1

  • Premier Integrated Health P.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265956007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4082 PENDLETON WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462265224",
            "telephone_number": "317-546-1915",
            "fax_number": "317-546-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4082 PENDLETON WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462265224",
            "telephone_number": "317-546-1915",
            "fax_number": "317-546-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTEGRATED HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NORDEEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-546-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "81510597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Integrated Health P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.