Individual provider Active NPI

Brandon Tyler Kruitbosch Budiman-Steinley, DO

  • Student in an Organized Health Care Education/Training Program
  • Indianapolis, IN
National Provider Identifier
1992238455
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
355 W 16TH St Ste 4300
Indianapolis, IN 46202-2394
Phone
(317) 963-2011
Fax
(317) 963-7068
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

355 W 16TH St Ste 4300
Indianapolis, IN 46202-2394

Mailing address

355 W 16TH St Ste 4300
Indianapolis, IN 46202-2394
Phone (317) 963-2011

Other names 1

  • Brandon Tyler Kruitbosch Steinley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: brandon.steinley@hca4.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1992238455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W 16TH ST STE 4300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022394",
            "telephone_number": "317-963-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W 16TH ST STE 4300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022394",
            "telephone_number": "317-963-2011",
            "fax_number": "317-963-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDIMAN-STEINLEY",
        "first_name": "BRANDON",
        "middle_name": "TYLER KRUITBOSCH",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "STEINLEY",
            "middle_name": "TYLER KRUITBOSCH",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.