Individual
BRANDT BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N SENATE BLVD STE 535, INDIANAPOLIS, IN 46202-1204
(804) 389-1025
Mailing address
1801 N SENATE BLVD STE 535, INDIANAPOLIS, IN 46202-1204
(804) 389-1025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01096617A
IN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
01096617A
IN
Other
Enumeration date
06/30/2020
Last updated
07/21/2025
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