REID PHYSICIAN ASSOCIATES INC NPI 1669171195

NPI Information

  • NPI: 1669171195
  • Provider Name: REID PHYSICIAN ASSOCIATES, INC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • CLIA Number: 15D0360484
  • Address: 11051 STATE ROAD 101 STE C
    BROOKVILLE, IN
    ZIP 47012
  • Phone: (765) 647-7646

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NPI Details

REID PHYSICIAN ASSOCIATES, INC is a radiology clinic center in Brookville, IN. REID PHYSICIAN ASSOCIATES, INC NPI is 1669171195. The provider is registered as an organization entity type.

The provider's business location address is:

11051 STATE ROAD 101 STE C
BROOKVILLE, IN
ZIP 47012-019
Phone: (765) 647-7646
Fax: (765) 647-7647

The provider's authorized official is Payor Enrollment .
The authorized official title is Payor Enrollment and has the following contact phone number (765) 983-3000.

The CLIA number assigned to this NPI record is 15D0360484 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/23/2023 and was last updated on 11/14/2025.

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
1261QR0200XClinic/CenterRadiologyYes

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: 11/21/2025

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