Active NPI
Brayton Jones, NP
- Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1538563291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71005172A
- Practice address
- 7240 Shadeland Sta
Ste 300
Indianapolis, IN 46256-3928 - Phone
- (317) 621-1514
- Fax
- (317) 355-6965
- NPI assigned
- Oct 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005172A | IN | Primary |
Addresses
Primary practice location
7240 Shadeland Sta
Ste 300
Indianapolis, IN 46256-3928
Mailing address
6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01512495 | Other | IN | RR MEDICARE |
| 201255260 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251113003608 | FL | Order and Referring Only - Nurse Practitioner | 2264653823 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1538563291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7240 SHADELAND STA",
"address_2": "STE 300",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563928",
"telephone_number": "317-621-1514",
"fax_number": "317-355-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BRAYTON",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-09",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005172A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01512495",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201255260",
"state": "IN"
}
],
"endpoints": [],
"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 Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.