Individual
DR. BRIAN D HORNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2560 N SHADELAND AVE STE A, INDIANAPOLIS, IN 46219-1706
(800) 890-6220
(317) 275-8018
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(606) 886-8511
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
36371
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355688
BCBS
KY
05
—
2005014-000
—
WV
01
—
220033056
TRAVELERS
KY
05
—
2414168
—
OH
05
—
64050552
—
KY
Enumeration date
03/10/2006
Last updated
03/29/2024
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