Individual provider Active NPI

Heidi Lynn Harris Bromund, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1366426850
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044151A Issued in IN
Practice address
8424 Naab Rd Ste 2a
Indianapolis, IN 46260-1966
Phone
(317) 415-6300
Fax
(317) 415-6303
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01044151A IN Primary

Addresses

Primary practice location

8424 Naab Rd Ste 2a
Indianapolis, IN 46260-1966

Mailing address

8424 Naab Rd Ste 2a
Indianapolis, IN 46260-1966

Other practice location 1

8414 Naab Rd Ste 120
Indianapolis, IN 46260-1972
Phone (317) 338-7510

Other identifiers 1

IdentifierTypeStateIssuer
200148310MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heidi.harris.2@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000406 IN Practitioner - Family Practice 5092831099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

8240 Naab Rd
Suite 155
Indianapolis, IN 46260-1985
Phone (317) 338-7760

8414 Naab Rd
Indianapolis, IN 46260-1972
Phone (317) 338-7770

Hospital & facility affiliations

  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157
  • Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center Family Medicine CurrentSince Jul 1, 1997 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jul 1, 1997 Accepting new patients
Saint Vincent Physician Services, Inc. Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

10330 N Meridian St
Ste 201
Carmel, IN 46290
Phone (317) 338-6234

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8414 Naab Rd
Ste 215
Indianapolis, IN 46260

8220 Naab Rd
Ste 114
Indianapolis, IN 46260

8414 Naab Rd
Ste 120
Indianapolis, IN 46260
Phone (317) 338-7578

8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450

Interoperability endpoints

  • Direct secure messaging: heidi.harris.1@7598.direct.athenahealth.com

Organizations & group practices 6

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1366426850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD STE 2A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD STE 2A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601966",
            "telephone_number": "317-415-6300",
            "fax_number": "317-415-6303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8414 Naab Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601972",
            "country_code": "US",
            "telephone_number": "317-338-7510",
            "fax_number": "317-338-7494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS BROMUND",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01044151A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200148310",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heidi.harris.2@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "8424 Naab Rd Ste 2A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.