Individual
DR. BOBBY R. BURCHES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1701 N SENATE BLVD STE 4110, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
(317) 577-4200
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02007110A
IN
207L00000X
Anesthesiology Physician
H0075529
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266431037
MEDICARE PTAN
IN
05
—
300077464
—
IN
01
—
Q00520502
RAILROAD PTAN
IN
Enumeration date
06/12/2009
Last updated
08/17/2023
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