Healthcare Provider Details

I. General information

NPI: 1548184476
Provider Name (Legal Business Name): 1ST CHOICE MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 STATE ST STE 10
NEW ALBANY IN
47150-4962
US

IV. Provider business mailing address

2441 STATE ST STE 10
NEW ALBANY IN
47150-4962
US

V. Phone/Fax

Practice location:
  • Phone: 812-945-4500
  • Fax: 812-945-4808
Mailing address:
  • Phone: 812-945-4500
  • Fax: 812-945-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRYAN GUESS
Title or Position: CEO
Credential: DC
Phone: 812-945-4500