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BERTRAM ANTHONY GRAVES MD PC NPI 1336328780


NPI Information

NPI: 1336328780
Provider Name: BERTRAM ANTHONY GRAVES, MD, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3737 N MERIDIAN ST
SUITE 104
INDIANAPOLIS, IN
ZIP 46208
Phone: (317) 584-4000
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BERTRAM ANTHONY GRAVES, MD, PC is a cardiovascular disease internal medicine in Indianapolis, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BERTRAM ANTHONY GRAVES, MD, PC NPI is 1336328780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3737 N MERIDIAN ST
SUITE 104
INDIANAPOLIS, IN
ZIP 46208-348
Phone: (317) 584-4000
Fax: (317) 584-4008

The provider's authorized official is Bertram Anthony Graves .
The authorized official title is President and has the following contact phone number (317) 584-4000.

The enumeration date for this NPI number is 11/1/2007 and was last updated on 11/28/2012.


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
1207RC0000XInternal MedicineCardiovascular Disease01039628INDIANAYes

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
1277460MEDICARE PININDIANA
2100120680MEDICAIDINDIANA
3A49334MEDICARE UPININDIANA

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: 4/28/2024

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.