BRENDA B JURICH MD NPI 1376512327

NPI Information

NPI: 1376512327
Provider Name: BRENDA B JURICH, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1701 S CREASY LN
LAFAYETTE, IN
ZIP 47905
Phone: (765) 446-4819
Get Directions

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
1	2085R0202X	Radiology	Diagnostic Radiology	01033781A	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	Other Provider Identifier Issuer
1	000000524004	OTHER	INDIANA	ANTHEM
2	P00414329	OTHER	INDIANA	MEDICARE RAILROAD
3	E05059	MEDICARE UPIN	INDIANA
4	248640P	MEDICARE PIN	INDIANA
5	200041260	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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