Provider Type Icon

THOMAS A BRADY SPORTS MEDICINE CTR NPI 1043085459


NPI Information

NPI: 1043085459
Provider Name: THOMAS A BRADY SPORTS MEDICINE CTR
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Organization

Specialization: Foot and Ankle Surgery

Address:
1312 W ARCH HAVEN AVE STE B
BLOOMINGTON, IN
ZIP 47403
Phone: (317) 817-1200
Get Directions

THOMAS A BRADY SPORTS MEDICINE CTR is a foot and ankle surgery orthopaedic surgery in Bloomington, IN. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. THOMAS A BRADY SPORTS MEDICINE CTR NPI is 1043085459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1312 W ARCH HAVEN AVE STE B
BLOOMINGTON, IN
ZIP 47403-088
Phone: (317) 817-1200
Fax: (317) 817-1220

The provider's authorized official is Jonathan Patrick Smerek .
The authorized official title is President and has the following contact phone number (317) 817-1200.

The enumeration date for this NPI number is 11/16/2023 and was last updated on 11/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.