Brendan Leroy is a Family Medicine in Fortville, Indiana. Brendan Leroy practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brendan Leroy is 1154405645. The last update date is 2023-11-27.
Brendan Leroy's current location address is 545 Vitality Dr Ste 100a, Fortville, Indiana. You can contact this provider via phone number 3176219220 and fax number 3176219222. The mailing address for Brendan Leroy is 545 Vitality Dr Ste 100a, Fortville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brendan Leroy |
|---|---|
| Address | 545 Vitality Dr Ste 100a, Fortville, Indiana |
| Phone Number | 3176219220 |
| Fax Number | 3176219222 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154405645 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 545 Vitality Dr Ste 100a |
|---|---|
| City | Fortville |
| State | Indiana (IN) |
| Post Code | 46040 |
| Phone Number | 3176219220 |
| Fax Number | 3176219222 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1062433 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01390900 | IN | MEDICARE RR PTAN | |
| 200830820 | IN | -- | |
| 566825 | INDIANA BCBS/ANTHEM HEALTH | ||
| 9814091 | AETNA HEALTH PLANS |
Post Comment/ Review Below
What is the unique identification code assigned to Brendan Leroy by the Centers for Medicare & Medicaid Services?
The Brendan Leroy has been issued the NPI (National Provider Identifier) 1154405645. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brendan Leroy is located?
The Brendan Leroy is situated at the following address: 545 Vitality Dr Ste 100A, Fortville, IN, 46040.
What is Brendan Leroy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brendan Leroy's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Brendan Leroy receive its 1154405645 assignment from the Centers for Medicare & Medicaid Services?
The Brendan Leroy was assigned its 1154405645 by the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date was the information regarding Brendan Leroy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brendan Leroy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-27.