Individual
BRETT M BRESHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1160 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5209
(317) 278-5002
Mailing address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(630) 337-1742
(847) 318-9340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.076391
IL
207W00000X
Ophthalmology Physician
Primary
02007836A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300091413
—
IN
Enumeration date
05/10/2019
Last updated
05/19/2025
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