Individual
DR. EDWARD R BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-4777
(317) 715-9965
Mailing address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-4777
(317) 715-9965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01026192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082139
ANTHEM-351158723
IN
01
—
000000492330
ANTHEM 203778927
IN
01
—
002857
SIHO-351158723
IN
01
—
071674
HEALTH ALLIANCE-351158723
IN
05
—
100206710
—
IN
01
—
300100619
RR MEDICARE 351158723
IN
01
—
Q0072450
CMOSHO351158723&352047427
IN
Enumeration date
05/24/2005
Last updated
12/04/2009
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