NPIMap

Organization Active NPI

Urology of Indiana, LLC

  • Customized Equipment (DME)
  • Fishers, IN
National Provider Identifier
1922639673
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
UROLOGY OF INDIANA, LLC
Practice address
14300 E 138TH BLDG a
Fishers, IN 46037-0087
Phone
(317) 813-1660
Fax
(317) 813-1667
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Dr. Bradley G. Orris
Title
MD
Phone
(317) 859-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

14300 E 138TH BLDG a
Fishers, IN 46037-0087

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 859-7222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net Urology of Indiana L.L.C.

National Provider Directory

National Provider Directory
Tax ID family
Urology of Indiana LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1922639673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-859-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH BLDG A",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370087",
            "telephone_number": "317-813-1660",
            "fax_number": "317-813-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "ORRIS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "317-859-7222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Urology of Indiana L.L.C.",
            "address_1": "14300 E 138th Bldg A",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460370087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.