RICHARD BRIAN GUNDERMAN M.D. NPI 1760420814

NPI Information

  • NPI: 1760420814
  • Provider Name: RICHARD BRIAN GUNDERMAN, M.D.
  • Classification: Radiology - 2085P0229X
  • Specialization: Pediatric Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1701 N SENATE BLVD
    ROOM 1204A
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 962-6793

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NPI Details

Richard Brian Gunderman, M.D. is a pediatric radiology radiology in Indianapolis, IN with 34 years of experience. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. Richard Brian Gunderman, M.D. NPI is 1760420814. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

1701 N SENATE BLVD
ROOM 1204A
INDIANAPOLIS, IN
ZIP 46202-239
Phone: (317) 962-6793
Fax: (317) 962-8281

The NPI 1760420814 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 1/29/2021.

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
12085P0229XRadiologyPediatric Radiology01046685INDIANAYes
22085R0202XRadiologyDiagnostic Radiology01046685INDIANANo

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
1200181870MEDICAIDINDIANA

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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