Organization Active NPI

Dr Bryant King

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1750056586
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR BRYANT KING
Practice address
1634 E Minnesota St
Indianapolis, IN 46203-2842
Phone
(317) 993-2473
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Bryant Alan King, MD
Title
Ceo/Ownere
Phone
(317) 757-9731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X

Addresses

Primary practice location

1634 E Minnesota St
Indianapolis, IN 46203-2842

Mailing address

3436 Kenilworth Dr
Indianapolis, IN 46228-2703
Phone (317) 757-9731

Other identifiers 2

IdentifierTypeStateIssuer
200545640MedicaidIN
1720010341OtherLANPPES

Other names 1

  • Dr. King Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1750056586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 KENILWORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462282703",
            "telephone_number": "317-757-9731",
            "fax_number": "317-983-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 E MINNESOTA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462032842",
            "telephone_number": "317-993-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRYANT KING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO/OWNERE",
        "authorized_official_telephone_number": "317-757-9731",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200545640",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1720010341",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. King",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. King",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 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.

Verify at the official NPI Registry.