Individual
BRENT DAVID MARSDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193
(317) 583-7600
Mailing address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01069458A
IN
2086S0129X
Vascular Surgery Physician
Primary
01069458A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000714214
ANTHEM BCBS
IN
05
—
201022140
—
IN
Enumeration date
03/15/2007
Last updated
07/20/2022
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