Active NPI
Westside Adult Medicine, LLC
- Internal Medicine Physician
- Zionsville, IN
National Provider Identifier
1407959604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WESTSIDE ADULT MEDICINE, LLC
- Practice address
- 675 S Ford Rd
Zionsville, IN 46077-1825 - Phone
- (317) 873-5205
- Fax
- (317) 858-4168
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Brown, MD
- Title
- Owner
- Phone
- (317) 873-5206
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
675 S Ford Rd
Zionsville, IN 46077-1825
Mailing address
PO Box 68952
Indianapolis, IN 46268-0952
Phone (317) 802-6291
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1831292036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192665600000",
"number": "1407959604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68952",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462680952",
"telephone_number": "317-802-6291",
"fax_number": "317-870-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 S FORD RD",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460771825",
"telephone_number": "317-873-5205",
"fax_number": "317-858-4168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE ADULT MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2007-10-18",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-873-5206",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.