NPIMap

Organization Active NPI

Urology of Indiana, L.L.C.

  • Customized Equipment (DME)
  • Indianapolis, IN
National Provider Identifier
1487734018
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
UROLOGY OF INDIANA, L.L.C.
Practice address
1270 N Post Rd Ste a
Indianapolis, IN 46219-4254
Phone
(317) 895-6095
Fax
(317) 895-6195
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Dr. Bradley G. Orris, M.D.
Title
M.D. /Owner
Phone
(317) 859-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1270 N Post Rd Ste a
Indianapolis, IN 46219-4254

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 885-1250

Other identifiers 2

IdentifierTypeStateIssuer
100194370AMedicaidIN
1487680518OtherINGROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net Urology of Indiana L.L.C.

National Provider Directory

National Provider Directory
Tax ID family
Urology of Indiana LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1487734018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-885-1250",
            "fax_number": "317-859-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N POST RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194254",
            "telephone_number": "317-895-6095",
            "fax_number": "317-895-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY OF INDIANA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "ORRIS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "M.D. /OWNER",
        "authorized_official_telephone_number": "317-859-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100194370A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487680518",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Urology of Indiana L.L.C.",
            "address_1": "1270 N Post Rd Ste A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462194254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.