Provider Type Icon

BROOKLYN MEDICAL ASSOCIATES PC NPI 1851512198


NPI Information

NPI: 1851512198
Provider Name: BROOKLYN MEDICAL ASSOCIATES, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5717 S ANTHONY BLVD
SUITE 100
FORT WAYNE, IN
ZIP 46806
Phone: (260) 747-6171
Get Directions

BROOKLYN MEDICAL ASSOCIATES, PC 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, PC NPI is 1851512198. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5717 S ANTHONY BLVD
SUITE 100
FORT WAYNE, IN
ZIP 46806-386
Phone: (260) 747-6171
Fax: (260) 478-5125

The provider's authorized official is Bill Ehinger .
The authorized official title is Ceo and has the following contact phone number (260) 478-5226.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 11/6/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine50000594AINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11248790013MEDICARE NSCINDIANA
2925500MEDICARE PININDIANA

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

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.