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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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist
3332B00000XDurable Medical Equipment & Medical Supplies
4207XX0005XSports Medicine (Orthopaedic Surgery) Physician
5207XS0114XAdult Reconstructive Orthopaedic Surgery Physician
6207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1407251382
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 : 317-817-1200
Provider Business Practice Location Address
First Line : 1010 S MAIN ST, STE 100
Second Line :
City : TIPTON
State : IN
Zip : 46072-9753
Country : US
Telephone Number : 317-817-1200
Fax Number : 317-817-1220
Authorized Official
Title or Position : PRESIDENT
Name : MARK RITTER
Credential : MD
Telephone Number : 317-817-1200
Provider Enumeration Date : 11/04/2014
Last Update Date : 12/09/2025

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Directions to “THOMAS A BRADY SPORTS MEDICINE CENTER, PC ” Practice Location

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