Organization Active NPI

Brothers United, Inc.

  • Community/Behavioral Health Agency
  • Indianapolis, IN
National Provider Identifier
1700241528
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BROTHERS UNITED, INC.
Practice address
3737 N Meridian St
Suite 401
Indianapolis, IN 46208-4347
Phone
(317) 931-0292
Fax
(317) 931-0294
NPI assigned
Dec 21, 2015
Last updated
Dec 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Mr. Larry Eugene Jimison Jr.
Title
Executive Director
Phone
(317) 931-0292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3737 N Meridian St
Suite 401
Indianapolis, IN 46208-4347

Mailing address

3737 N Meridian St
Suite 401
Indianapolis, IN 46208-4347
Phone (317) 931-0292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1700241528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "address_2": "SUITE 401",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084347",
            "telephone_number": "317-931-0292",
            "fax_number": "317-931-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "address_2": "SUITE 401",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084347",
            "telephone_number": "317-931-0292",
            "fax_number": "317-931-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS UNITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "JIMISON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-931-0292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Dec 21, 2015; 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.