Goodman Campbell Brain And Spine

LBN: Indianapolis Neurosurgical Group
Goodman Campbell Brain And Spine is an health care organization with primary practice located at 201 Pennsylvania Pkwy 200, Indianapolis IN 46280-2301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Indianapolis Neurosurgical Group can be contacted via phone (317) 396-1300, or through Cantrell, Derek via phone (317) 396-1300.

Contact Information

Primary practice address
201 Pennsylvania Pkwy 200 Indianapolis IN 46280-2301
Fax:
Website:
Authorized official contact:
Name: Cantrell, Derek

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01024604 Indiana

Profile Details

NPI number 1306065149
LBN Legal business name Indianapolis Neurosurgical Group
DBA Doing business as Goodman Campbell Brain And Spine
Authorized official Cantrell, Derek
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Dec 29th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306065149 NPPES
Indiana MEDICAID 100318390N

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