Brian N Carter, MD
Individual provider Active NPI Family Medicine Physician · Granger, IN
NPI 1366432429 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1366432429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01050944A (IN)
- Practice address
- 52500 Fir Rd
Granger, IN 46530-8579 - Phone
- (574) 271-0700
- Fax
- (574) 273-5648
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Rowan University School of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The South Bend Clinic LLC
Practice addresses (Care Compare)
211 N Eddy St
South Bend, IN 46617-2808
Phone (574) 234-8161
Hospital & facility affiliations
- Memorial Hospital of South Bend
- Saint Joseph Regional Medical Center
- Elkhart General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091214000187 | IN | Practitioner - Family Practice | 2466549316 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050944A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The South Bend Clinic, LLC | Current |
Accepting new patients | |
| The South Bend Clinic LLC | Current |
Accepting new patients |
Locations
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
52500 Fir Rd
Granger, IN 46530
Phone (574) 204-7050
211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331
Interoperability endpoints
- bcarter252896@dulyhealthandcare.direct-ci.com
- https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01050944A | IN | Yes |
Addresses
Primary practice location
52500 Fir Rd
Granger, IN 46530-8579
Mailing address
52500 Fir Rd
Granger, IN 46530-8579
Phone (574) 271-0700
Other practice location 1
211 N Eddy St
South Bend, IN 46617-3096
Phone (574) 234-8161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200183700 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@southbendclinic.com |
Other providers in Granger, IN
- Candescent Health and Wellness, LLC
- Cardinal Anesthesia, LLC
- Janee Marie Carlile
- Carolyne & Company Home Healthcare
- Heather Carroll
- Catherine Briguera Catral
- Jose Raymundo Sorio Catral Jr.
- Center for Eye-Care Excellence
- Joseph H Cerbin
- Hira A Chaudhry
All providers in Granger, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.