BRENDA B JURICH MD NPI 1376512327

NPI Information

  • NPI: 1376512327
  • Provider Name: BRENDA B JURICH, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 1701 S CREASY LN
    LAFAYETTE, IN
    ZIP 47905
  • Phone: (765) 446-4819

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NPI Details

Brenda B Jurich, MD is a diagnostic radiology radiology in Lafayette, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Brenda B Jurich, MD NPI is 1376512327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1701 S CREASY LN
LAFAYETTE, IN
ZIP 47905-972
Phone: (765) 446-4819
Fax: (765) 446-4859

The enumeration date for this NPI number is 3/14/2006 and was last updated on 3/2/2011.

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
12085R0202XRadiologyDiagnostic Radiology01033781AINDIANAYes

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 Other Provider Identifier Issuer
1000000524004OTHERINDIANAANTHEM
2P00414329OTHERINDIANAMEDICARE RAILROAD
3E05059MEDICARE UPININDIANA
4248640PMEDICARE PININDIANA
5200041260MEDICAIDINDIANA

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: 3/30/2025

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