Organization Active NPI

Brengle Family Medicine

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1386150043
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01043339A Issued in IN
Legal business name
BRENGLE FAMILY MEDICINE
Doing business as
Brengle Familly Medicine
Practice address
8803 N Meridian St Ste 350
Indianapolis, IN 46260-5386
Phone
(317) 252-1219
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Lori Scott-Solazzo
Title
Practice Manager
Phone
(317) 252-1219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01043339A IN Primary

Addresses

Primary practice location

8803 N Meridian St Ste 350
Indianapolis, IN 46260-5386

Mailing address

8803 N Meridian St Ste 350
Indianapolis, IN 46260-5386
Phone (317) 252-1219

Other names 1

  • Brengle Familly Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2233217Brengle Family Medicine8803 N Meridian St, Suite 350, Indianapolis, IN 46260Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Locations

8803 N Meridian St
Ste 350
Indianapolis, IN 46260
Phone (317) 252-1219

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1386150043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 N MERIDIAN ST STE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605386",
            "telephone_number": "317-252-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 N MERIDIAN ST STE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605386",
            "telephone_number": "317-252-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENGLE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "SCOTT-SOLAZZO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "317-252-1219"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01043339A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brengle Familly Medicine",
            "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 Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.