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NPI Code Detail

MEDICARE: DR. RORY PAUL SANDBERG M.D.

MEDICARE: DR. RORY PAUL SANDBERG 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
1207X00000XOrthopaedic Surgery Physician01077317AIN
2207X00000XOrthopaedic Surgery Physician0101264994VA

General Provider Information

NPI Number : 1184902447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RORY PAUL SANDBERG M.D.
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 W UNIVERSITY AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47303-3428
Country : US
Telephone Number : 765-702-2817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2011
Last Update Date : 03/19/2026

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Directions to “ DR. RORY PAUL SANDBERG M.D.” Practice Location

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