Organization
HOWARD BRUMBAUGH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD A. BRUMBAUGH MD (PRESIDENT PHYSICIAN)
(317) 575-1147
Entity
Organization
Contact information
Practice address
10293 N MERIDIAN ST, SUITE 325, INDIANAPOLIS, IN 46290-1123
(317) 575-1147
(317) 574-4767
Mailing address
10293 N MERIDIAN ST, SUITE 325, INDIANAPOLIS, IN 46290-1123
(317) 575-1147
(317) 574-4767
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01027008A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100121720
—
IN
01
—
180016640
RAILROAD MEDICARE
—
Enumeration date
05/24/2007
Last updated
01/29/2009
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