DR. BRETT HARRISON GRAHAM MD PHD NPI 1861572117

NPI Information

NPI: 1861572117
Provider Name: DR. BRETT HARRISON GRAHAM, MD, PHD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
550 UNIVERSITY BLVD
IUHP MEDICAL & MOLECULAR GENETICS, AOC SUITE 5001
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-8660
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DR. Brett Harrison Graham, MD, PHD is a clinical genetics (m.d.) medical genetics in Indianapolis, IN with 26 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Brett Harrison Graham, MD, PHD NPI is 1861572117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

550 UNIVERSITY BLVD
IUHP MEDICAL & MOLECULAR GENETICS, AOC SUITE 5001
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-8660
Fax: (317) 278-0936

The NPI 1861572117 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 10/17/2006 and was last updated on 1/19/2021.

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
1	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	01078449A	INDIANA	Yes
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	L6918	TEXAS	No
3	208000000X	Pediatrics		L6918	TEXAS	No

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	162909901	MEDICAID	TEXAS

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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