BROOKLYN MEDICAL ASSOCIATES LLC NPI 1548209877

NPI Information

NPI: 1548209877
Provider Name: BROOKLYN MEDICAL ASSOCIATES LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2516 E DUPONT RD
FORT WAYNE, IN
ZIP 46825
Phone: (260) 747-6171
Get Directions

BROOKLYN MEDICAL ASSOCIATES LLC is a family medicine in Fort Wayne, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BROOKLYN MEDICAL ASSOCIATES LLC NPI is 1548209877. The provider is registered as an organization entity type.

The provider's business location address is:

2516 E DUPONT RD
FORT WAYNE, IN
ZIP 46825-608
Phone: (260) 747-6171
Fax: (260) 478-5125

The provider's authorized official is Debbie Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 12/8/2011.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	207Q00000X	Family Medicine		50000594A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	100284760M	MEDICAID	INDIANA
2	1248790012	MEDICARE NSC	INDIANA
3	925530	MEDICARE PIN	INDIANA

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »