Cerebrocare of Indiana, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CEREBROCARE OF INDIANA, LLC

Practice address

130 Professional CT
Lafayette, IN 47905-5153

Phone

(219) 588-8000

NPI assigned

May 17, 2023

Organization subpart

No

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

Authorized official

Name

Bruce Ballet

Title

Executive VP

Phone

(860) 771-0622

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Cheng Du, MD

  • Neurology Physician
  • Crown Point, IN
  • NPI 1245209246
  NPD (past)

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1659062099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WELLS DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323104",
            "telephone_number": "860-771-0622",
            "fax_number": "606-402-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PROFESSIONAL CT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055153",
            "telephone_number": "219-588-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E 90th Dr",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464108144",
            "country_code": "US",
            "telephone_number": "219-456-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEREBROCARE OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "BALLET",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "860-771-0622"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Caswell, RBT
• Diane Catania, RBT
• John Catron
• Renee Cavanaugh, OTD, OTR
• Jessica Cawby, MS, CCC-SLP
• Sandra Lucille Chaja, LAT, ATC
• Shaun Kelli Chalfant, NP
• Challgren Dentistry PC
• Craig Robert Challgren, DDS
• Erik Challgren, DDS

• Neurology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.