NPIMap

Organization Active NPI

Reid Physician Associates, Inc

Doing business as Reid Health Imaging Brookville

  • Radiology Clinic/Center
  • Brookville, IN
National Provider Identifier
1669171195
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
REID PHYSICIAN ASSOCIATES, INC
Doing business as
Reid Health Imaging Brookville
Practice address
11051 State Road 101 Ste C
Brookville, IN 47012-0019
Phone
(765) 647-7646
Fax
(765) 647-7647
NPI assigned
Feb 23, 2023
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Payor Enrollment
Title
Payor Enrollment
Phone
(765) 983-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

11051 State Road 101 Ste C
Brookville, IN 47012-0019

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3127

Other names 1

  • Reid Health Imaging Brookville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240709003365 IN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6406910769 Practice locations: Brookville, IN

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Reid Physician Assocs Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

11051 State Road 101
Ste C
Brookville, IN 47012
Phone (765) 647-7646

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reid Primary & Specialty Care - Cambridge CityCambridge City, IN, CCN 153896 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 28, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1669171195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11051 STATE ROAD 101 STE C",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470120019",
            "telephone_number": "765-647-7646",
            "fax_number": "765-647-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID PHYSICIAN ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "ENROLLMENT",
        "authorized_official_first_name": "PAYOR",
        "authorized_official_title_or_position": "PAYOR ENROLLMENT",
        "authorized_official_telephone_number": "765-983-3000"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reid Health Imaging Brookville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookville, IN

Sources for this page

Verify at the official NPI Registry.