Organization
CEREBROCARE OF INDIANA, LLC
Active
Organization
CEREBROCARE OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BALLET (EXECUTIVE VP)
(860) 771-0622
Entity
Organization
Contact information
Practice address
130 PROFESSIONAL CT, LAFAYETTE, IN 47905-5153
(219) 588-8000
Mailing address
34 WELLS DR, FARMINGTON, CT 06032-3104
(860) 771-0622
(606) 402-2132
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
05/17/2023
Last updated
08/11/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up