Healthcare Provider Details

I. General information

NPI: 1144693516
Provider Name (Legal Business Name): DAVID A PURGER MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2015
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N SENATE BLVD
INDIANAPOLIS IN
46202-1239
US

IV. Provider business mailing address

355 W 16TH ST STE 5100
INDIANAPOLIS IN
46202-2274
US

V. Phone/Fax

Practice location:
  • Phone: 317-963-1300
  • Fax: 317-222-2012
Mailing address:
  • Phone: 317-963-1300
  • Fax: 317-222-2012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number01093002A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: