Individual provider Active NPI

Howard D. Brumbaugh, M.D.

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1922080456
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01027008A Issued in IN
Practice address
10293 N Meridian St
Suite 325
Indianapolis, IN 46290-1123
Phone
(317) 575-1147
Fax
(317) 574-4767
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01027008A IN Primary

Addresses

Primary practice location

10293 N Meridian St
Suite 325
Indianapolis, IN 46290-1123

Mailing address

10293 N Meridian St
Suite 325
Indianapolis, IN 46290-1123
Phone (317) 575-1147

Other identifiers 1

IdentifierTypeStateIssuer
000000089046OtherINBC/BS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090415000215 IN Practitioner - Ophthalmology 6103973862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01027008AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrett Eye Care, LLC Ophthalmology CurrentSince Dec 15, 2019 Accepting new patients

Locations

11450 N Meridian St
Ste 120
Carmel, IN 46032
Phone (317) 872-8772

11845 Allisonville Rd
Ste 300
Fishers, IN 46038
Phone (317) 585-9295

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1922080456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10293 N MERIDIAN ST",
            "address_2": "SUITE 325",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901123",
            "telephone_number": "317-575-1147",
            "fax_number": "317-574-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10293 N MERIDIAN ST",
            "address_2": "SUITE 325",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901123",
            "telephone_number": "317-575-1147",
            "fax_number": "317-574-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "HOWARD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01027008A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN",
            "identifier": "000000089046",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.