UROLOGY OF INDIANA L.L.C.

Provider Demographics

• NPI: 1487680518
• Name: UROLOGY OF INDIANA L.L.C.
• Entity Type: Organization
• Organization Name: UROLOGY OF INDIANA L.L.C.
• Authorized Official - Title/Position: M.D./ OWNER
• Authorized Official - Prefix: DR
• Authorized Official - First Name: BRADLEY
• Authorized Official - Middle Name: G
• Authorized Official - Last Name: ORRIS
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 317-859-7222
• Mailing Address - Street 1: 679 E COUNTY LINE RD
• Mailing Address - City: GREENWOOD
• Mailing Address - State: IN
• Mailing Address - Zip Code: 46143-1049
• Mailing Address - Country: US
• Mailing Address - Phone: 317-885-1250
• Mailing Address - Fax: 317-859-4268
• Practice Address - Street 1: 679 E COUNTY LINE RD
• Practice Address - City: GREENWOOD
• Practice Address - State: IN
• Practice Address - Zip Code: 46143-1049
• Practice Address - Country: US
• Practice Address - Phone: 317-859-7222
• Practice Address - Fax: 317-859-7220
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-06-23
• Last Update Date: 2021-03-17

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	208800000X	Allopathic & Osteopathic Physicians	Urology		Group - Multi-Specialty
No	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology		Group - Multi-Specialty
No	207VF0040X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology	Female Pelvic Medicine and Reconstructive Surgery	Group - Multi-Specialty
No	207ZP0102X	Allopathic & Osteopathic Physicians	Pathology	Anatomic Pathology & Clinical Pathology	Group - Multi-Specialty
No	2085R0001X	Allopathic & Osteopathic Physicians	Radiology	Radiation Oncology	Group - Multi-Specialty
No	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center		Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IN	1003996638	Other	DME LOCATION NPI
IN	1104906734	Other	DME LOCATION NPI
IN	1205916830	Other	DME LOCATION NPI
IN	1669552295	Other	DME LOCATION NPI
IN	1275613804	Other	DME LOCATION NPI
IN	1932289568	Other	DME LOCATION NPI
IN	1225485899	Other	UROPOINT LAB NPI
IN	1447342894	Other	DME LOCATION NPI
IN	1487734018	Other	DME LOCATION NPI
IN	1740360379	Other	DME LOCATION NPI
IN	1902986532	Other	DME LOCATION NPI
IN	100194370	Medicaid
IN	1548340177	Other	DME LOCATION NPI
IN	200288740	Medicaid
IN	345000	Medicare PIN
IN	1003996638	Other	DME LOCATION NPI
IN	069390	Medicare PIN
IN	1205916830	Other	DME LOCATION NPI
IN	1234980014	Medicare NSC
IN	1234980012	Medicare NSC
IN	1234980007	Medicare NSC
IN	1487734018	Other	DME LOCATION NPI
IN	1548340177	Other	DME LOCATION NPI
IN	200288740	Medicaid
IN	1234980016	Medicare NSC
IN	318870	Medicare PIN
IN	1275613804	Other	DME LOCATION NPI
IN	1234980013	Medicare NSC
IN	1234980001	Medicare NSC
IN	160060	Medicare PIN
IN	100194370	Medicaid
IN	896480	Medicare PIN
IN	069340	Medicare PIN
IN	069350	Medicare PIN
IN	1932289568	Other	DME LOCATION NPI
IN	1740360379	Other	DME LOCATION NPI
IN	677730	Medicare PIN