Individual
BRADLEY L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 BARNHILL DR, EH 435, INDIANAPOLIS, IN 46202-5112
(317) 274-3960
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01053842A
IN
207RI0200X
Infectious Disease Physician
Primary
01053842A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200322130
—
IN
Enumeration date
04/21/2006
Last updated
02/26/2025
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