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NPI Code Detail

MEDICARE: BRYAN KEITH PERKINS M.D.

MEDICARE: BRYAN KEITH PERKINS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician01039943AIN
2207VG0400XGynecology Physician01039943AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346236551
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN KEITH PERKINS M.D.
Provider Business Mailing Address
First Line : 8051 S EMERSON AVE
Second Line : SUITE 400
City : INDIANAPOLIS
State : IN
Zip : 46237-8600
Country : US
Telephone Number : 317-865-3600
Fax Number :
Provider Business Practice Location Address
First Line : 8051 S EMERSON AVE STE 400
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-8633
Country : US
Telephone Number : 317-865-3600
Fax Number : 317-885-3850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 02/12/2019

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Directions to “ BRYAN KEITH PERKINS M.D.” Practice Location

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