Individual
BRYAN M SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601A WESTFIELD RD, NOBLESVILLE, IN 46060-1323
(317) 776-3456
(317) 776-3457
Mailing address
PO BOX 775985, CHICAGO, IL 60677-5985
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050929
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080190160
MEDICARE RR
IN
05
—
200246090A
—
IN
Enumeration date
12/30/2005
Last updated
09/21/2020
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