Benedict, Bryan

Benedict, Bryan is an individual health care provider with primary practice located at 1402 E County Line Rd , Indianapolis IN 46227-0963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Benedict, Bryan can be contacted via phone (317) 554-4000.

Contact Information

Primary practice address
1402 E County Line Rd Indianapolis IN 46227-0963
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01032993 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01032993 Indiana

Profile Details

NPI number 1891702130
LBN Legal business name Benedict, Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 14th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891702130 NPPES
Indiana MEDICAID 100342970

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