# BROOKLYN MEDICAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023063526
- **Authorized official:** DEBBIE BREWER (DIRECTOR)
- **Authorized official phone:** (877) 892-9813

## Contact information

- **Practice address:** 3534 BROOKLYN AVE, FORT WAYNE, IN 46809-1361
- **Practice address phone:** (260) 747-6171
- **Practice address fax:** (260) 478-5125
- **Mailing address:** 3534 BROOKLYN AVE, FORT WAYNE, IN 46809-1361
- **Mailing address phone:** (260) 747-6171
- **Mailing address fax:** (260) 478-5125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 50000594A | IN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 12/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100284760C | — | IN |