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General NPI Number Information
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NPI Number | 1194037721
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Entity Type | Individual
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Provider Name | BRIAN D GRANER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 550 UNIVERSITY BLVD INDIANA UNIVERSITY HOSPITAL, ROOM 0641
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5149
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Country | US
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Telephone | 317-944-1816
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Fax | 317-948-2803
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Provider Business Mailing Address
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Address Line | 5901 TECHNOLOGY CENTER DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-6013
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Country | US
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Telephone | 317-328-3746
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Fax | 317-570-6432
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 63175-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301097150
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01077071A
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License Number State | IN
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