Active NPI
Nick R Broviak
- Addiction Medicine (Psychiatry & Neurology) Physician
- Indianapolis, IN
National Provider Identifier
1609667948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 28186630A
- Practice address
- 8530 Township Line Rd
Indianapolis, IN 46260-1927 - Phone
- (855) 476-1837
- NPI assigned
- May 15, 2025
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 28186630A | IN | Primary |
Addresses
Primary practice location
8530 Township Line Rd
Indianapolis, IN 46260-1927
Mailing address
8530 Township Line Rd
Indianapolis, IN 46260-1927
Phone (855) 476-1837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28186630A | IN | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1609667948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8530 TOWNSHIP LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601927",
"telephone_number": "855-476-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8530 TOWNSHIP LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601927",
"telephone_number": "855-476-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROVIAK",
"first_name": "NICK",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "IN",
"license": "28186630A",
"primary": true
}
],
"identifiers": [],
"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 May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.