Provider Demographics
NPI:1881696383
Name:MURPHY, FRANK V (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:V
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:707 CEDAR ST STE 405
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2059
Mailing Address - Country:US
Mailing Address - Phone:574-335-8707
Mailing Address - Fax:574-335-0741
Practice Address - Street 1:2930 W CLEVELAND RD
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46628-6090
Practice Address - Country:US
Practice Address - Phone:574-335-8450
Practice Address - Fax:574-335-0780
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01058957A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200484730Medicaid
IN1102199575OtherANTHEM
IN000001417017OtherANTHEM
IN000000335701OtherANTHEM PIN#
IN000000770999OtherBCBS- NORTHWEST
IN000001418122OtherANTHEM
IN187720062OtherMEDICARE
IN7914594OtherAETNA PIN#
IN200311740BMedicaid
INP00317171OtherMEDICARE RAILROAD #
IN000000770999OtherANTHEM
IN941050093OtherMEDICARE