Deborah Lynn Allen-Brown, MD

Individual provider Active NPI Family Medicine Physician · Indianapolis, IN

NPI 1780667014 · NPPES record last updated Jun 25, 2009

Key facts

NPI
1780667014
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
01060342A (IN)
Practice address
1001 Broad Ripple Ave
Indianapolis, IN 46220-2093
Phone
(317) 338-4200
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01060342AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Primary Care, LLC Family Medicine Past Accepting new patients
Advocate Health Centers, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01060342A IN Yes

Addresses

Primary practice location

1001 Broad Ripple Ave
Indianapolis, IN 46220-2093

Mailing address

10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024

Other identifiers

IdentifierTypeStateIssuer
P00256171OtherINRAILROAD INDIVIDUAL
200519450MedicaidIN
DC3600OtherINRAILROAD GROUP

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Family Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.