Provider Demographics
NPI:1952357667
Name:VIEGAS, BRENDA P (MD)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:P
Last Name:VIEGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRENDA
Other - Middle Name:P
Other - Last Name:VIEGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:360 S MADISON AVE
Mailing Address - Street 2:# 210
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-3150
Mailing Address - Country:US
Mailing Address - Phone:317-881-3232
Mailing Address - Fax:317-881-3796
Practice Address - Street 1:360 S MADISON AVE
Practice Address - Street 2:# 210
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-3150
Practice Address - Country:US
Practice Address - Phone:317-881-3232
Practice Address - Fax:317-881-3796
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01026623A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics