Individual
JAY A HILDEBRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 948-1310
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01080450A
IN
207R00000X
Internal Medicine Physician
036131450
IL
208M00000X
Hospitalist Physician
036131450
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001177713
ANTHEM PTAN
IN
05
—
036131450
—
IL
05
—
201143970
—
IN
Enumeration date
05/25/2007
Last updated
05/23/2025
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