Provider Demographics
NPI:1437027216
Name:BIBLE, BRIANNA INEZ
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:INEZ
Last Name:BIBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 TURTLE CREEK NORTH DR APT 5
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-1717
Mailing Address - Country:US
Mailing Address - Phone:317-909-8125
Mailing Address - Fax:317-909-8125
Practice Address - Street 1:536 TURTLE CREEK NORTH DR APT 5
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-1717
Practice Address - Country:US
Practice Address - Phone:317-909-8125
Practice Address - Fax:317-909-8125
Is Sole Proprietor?:No
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INCAPRC1-6242175T00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No175T00000XOther Service ProvidersPeer Specialist