Individual
BRYAN E MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
445 CLIFTY DR, MADISON, IN 47250-1607
(812) 273-5372
(812) 273-5741
Mailing address
4715 N 350 W, MADISON, IN 47250-8043
(765) 717-1790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012403A
IN
363LF0000X
Family Nurse Practitioner
CS0365835
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300062802
—
IN
05
—
7100813710
—
KY
Enumeration date
03/25/2022
Last updated
11/06/2025
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