# BROOKLYN MEDICAL ASSOCIATES, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1366481699
- **Authorized official:** BILL EHINGER (CEO)
- **Authorized official phone:** (260) 478-5226

## Contact information

- **Practice address:** 326 SAWYER RD, KENDALLVILLE, IN 46755-2573
- **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 |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 11/06/2007