DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1861572117

NPI Code Detail

MEDICARE: BRETT HARRISON GRAHAM MD, PHD

MEDICARE: BRETT HARRISON GRAHAM MD, PHD

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
1	207SG0201X	Clinical Genetics (M.D.) Physician	L6918	TX
2	207SG0202X	Clinical Biochemical Genetics Physician	01078449A	IN
3	208000000X	Pediatrics Physician	L6918	TX
4	207SG0201X	Clinical Genetics (M.D.) Physician	01078449A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000001105334	OTHER	IN	ANTHEM PTAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861572117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRETT HARRISON GRAHAM MD, PHD

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	:	1002 WISHARD BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-4163
Country	:	US
Telephone Number	:	317-944-3966
Fax Number	:	317-968-1354

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	02/21/2025

Similar Medicare Providers

1508822545 — DAVID D WEAVER MD
Practice Location Address:

1002 WISHARD BLVD
INDIANAPOLIS, IN
46202-4163

Practice Phone: 317-944-3966
Practice Fax: 317-968-1354

1083657613 — CLAIR A FRANCOMANO MD
Practice Location Address:

1002 WISHARD BLVD
INDIANAPOLIS, IN
46202-4163

Practice Phone: 317-944-3966
Practice Fax: 317-968-1354

1154431567 — BRYAN E HAINLINE MD, PHD
Practice Location Address:

1002 WISHARD BLVD
INDIANAPOLIS, IN
46202-4163

Practice Phone: 317-944-3966
Practice Fax: 317-968-1354

1962607820 — MELISSA DAWN LAH MD
Practice Location Address:

1002 WISHARD BLVD
INDIANAPOLIS, IN
46202-4163

Practice Phone: 317-944-3966
Practice Fax: 317-968-1354

1346554623 — MRS. LAURA ANNE BOBINSKY CF-SLP
Practice Location Address:

1002 WISHARD BLVD
INDIANAPOLIS, IN
46202-4163

Practice Phone: 317-944-8868
Practice Fax: 317-944-6680

1972803161 — GABRIELLE CHRISTINE GEDDES MD
Practice Location Address:

1002 WISHARD BLVD
INDIANAPOLIS, IN
46202-4163

Practice Phone: 317-944-3966
Practice Fax: 317-968-1354

Directions to “ BRETT HARRISON GRAHAM MD, PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.