Active NPI
Ava Bracken
- Diagnostic Radiology Physician
- Indianapolis, IN
National Provider Identifier
1285508291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 1097890
- Practice address
- 6452 Preakness CT
Indianapolis, IN 46259-7651 - Phone
- (317) 954-6244
- NPI assigned
- Oct 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1097890 | IN | Primary |
Addresses
Primary practice location
6452 Preakness CT
Indianapolis, IN 46259-7651
Mailing address
6452 Preakness CT
Indianapolis, IN 46259-7651
Phone (317) 954-6244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1097890 | IN | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1285508291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6452 PREAKNESS CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462597651",
"telephone_number": "317-954-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6452 PREAKNESS CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462597651",
"telephone_number": "317-954-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKEN",
"first_name": "AVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "1097890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.