Individual
DR. MONICA BRUNELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10122 E 10TH ST, SUITE # 220, INDIANAPOLIS, IN 46229-2663
(317) 355-2184
(317) 355-2185
Mailing address
10122 E 10TH ST, SUITE # 220, INDIANAPOLIS, IN 46229-2663
(317) 355-2184
(317) 355-2185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01024979
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343057
ANTHEM BCBS
IN
01
—
0000003897
ANTHEM
IN
05
—
100058580
—
IN
05
—
100058580A
—
IN
01
—
112568798
RAILROAD MEDICARE
IN
01
—
314345668
TRICARE
IN
01
—
398887
WELLCARE
IN
01
—
4004135
AETNA US HEALTHCARE
IN
01
—
6313463005
CIGNA HEALTHCARE
IN
01
—
P00277621
RAILROAD MEDICARE
IN
01
—
P00283879
RAILROAD MEDICARE
IN
Enumeration date
08/24/2006
Last updated
01/08/2009
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