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NPI Code Detail

MEDICARE: THOMAS A BRADY SPORTS MEDICINE CENTER, PC

MEDICARE: THOMAS A BRADY SPORTS MEDICINE CENTER, PC
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 Physician

General Provider Information

NPI Number : 1194610022
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS A BRADY SPORTS MEDICINE CENTER, PC
Provider Business Mailing Address
First Line : 10767 ILLINOIS ST STE 3000
Second Line :
City : CARMEL
State : IN
Zip : 46032-8972
Country : US
Telephone Number : 317-817-1200
Fax Number : 317-817-1220
Provider Business Practice Location Address
First Line : 4600 SUNSET AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-3443
Country : US
Telephone Number : 317-817-1200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JONATHAN PATRICK SMEREK
Credential :
Telephone Number : 317-817-1200
Provider Enumeration Date : 06/11/2025
Last Update Date : 12/09/2025

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