Organization Active NPI

Abundant Health Family Medicine

  • Family Medicine Physician
  • Muncie, IN
National Provider Identifier
1396094629
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ABUNDANT HEALTH FAMILY MEDICINE
Practice address
1720 S Burlington Drive
Muncie, IN 47302-2771
Phone
(765) 216-7620
NPI assigned
Aug 31, 2012
Last updated
Jul 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Dr. Brian Lee Lumpkin, M.D.NPI 1710976527
Title
Managing Member
Phone
(765) 216-7620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1720 S Burlington Drive
Muncie, IN 47302-2771

Mailing address

1720 S Burlington Drive
Muncie, IN 47302-2771
Phone (765) 216-7620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130716000291 IN Part B Supplier - Clinic/Group Practice 4587804554 Receives reassigned benefits from 2 practitioners
Practice locations: Muncie, IN

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
15D2045801Abundant Health Family Med1720 S Burlington Drive, Muncie, IN 47302Certificate of waiverAug 20, 2026

National Provider Directory

National Provider Directory

Locations

1720 S Burlington Dr
Muncie, IN 47302
Phone (765) 216-7620

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBDAD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1396094629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S BURLINGTON DRIVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473022771",
            "telephone_number": "765-216-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S BURLINGTON DRIVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473022771",
            "telephone_number": "765-216-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "LUMPKIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "765-216-7620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.