Individual
MS. BROOKE S. SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 N SENATE AVENUE, RM AG001, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 962-8552
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001364A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000743223
ANTHEM PIN
IN
Enumeration date
07/04/2011
Last updated
02/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us