Organization Active NPI

Howard Brumbaugh MD PC

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1306057427
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01027008A Issued in IN
Legal business name
HOWARD BRUMBAUGH MD PC
Practice address
10293 N Meridian St
Suite 325
Indianapolis, IN 46290-1123
Phone
(317) 575-1147
Fax
(317) 574-4767
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Dr. Howard A. Brumbaugh, MD
Title
President Physician
Phone
(317) 575-1147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 01027008A IN Primary

Addresses

Primary practice location

10293 N Meridian St
Suite 325
Indianapolis, IN 46290-1123

Mailing address

10293 N Meridian St
Suite 325
Indianapolis, IN 46290-1123
Phone (317) 575-1147

Other identifiers 2

IdentifierTypeStateIssuer
100121720MedicaidIN
180016640OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

10293 N Meridian St
Ste 325
Carmel, IN 46290
Phone (317) 575-1147

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1306057427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10293 N MERIDIAN ST",
            "address_2": "SUITE 325",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901123",
            "telephone_number": "317-575-1147",
            "fax_number": "317-574-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10293 N MERIDIAN ST",
            "address_2": "SUITE 325",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901123",
            "telephone_number": "317-575-1147",
            "fax_number": "317-574-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD BRUMBAUGH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "BRUMBAUGH",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "317-575-1147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01027008A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100121720",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180016640",
            "state": null
        }
    ],
    "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 Jan 29, 2009; 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.