Individual
BRYAN BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 554-4000
Mailing address
6605 FORREST COMMONS BLVD, INDIANAPOLIS, IN 46227-2394
(317) 374-8617
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01032993
IN
207Q00000X
Family Medicine Physician
Primary
01032993
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100342970
—
IN
Enumeration date
08/01/2006
Last updated
12/14/2016
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