Active NPI
Dr Bryant King
- Internal Medicine Physician
- Indianapolis, IN
National Provider Identifier
1750056586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200545640 | Medicaid | IN | |
| 1720010341 | Other | LA | NPPES |
Other names 1
- Dr. King
National Provider Directory
National Provider DirectoryNPI 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.