Healthcare Provider Details

I. General information

NPI: 1700794591
Provider Name (Legal Business Name): BRYNEXA MEDICAL BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 DIETZ DR
GREENWOOD IN
46143-5652
US

IV. Provider business mailing address

290 DIETZ DR
GREENWOOD IN
46143-5652
US

V. Phone/Fax

Practice location:
  • Phone: 223-205-0229
  • Fax: 223-205-0229
Mailing address:
  • Phone: 223-205-0229
  • Fax: 223-205-0229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BHUPINDER SINGH
Title or Position: OWNER
Credential:
Phone: 223-205-0229