DR. BRETT HARRISON GRAHAM (NPI# 1861572117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861572117 |
| Entity Type | Individual |
| Full Name | DR. BRETT HARRISON GRAHAM |
| Credential | MD, PHD |
| Practice Address |
550 University Blvd Iuhp Medical & Molecular Genetics, Aoc Suite 5001 Indianapolis IN 46202 |
| Mailing Address |
6701 Fannin St Houston TX 77030-2316 |
| Practice Telephone | 3172748660 |
| Practice Fax Number | 3172780936 |
| Mailing Telephone | (832) 822-4280 |
| Mailing Fax Number | 8328254294 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
01078449A | IN | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
L6918 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | L6918 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 162909901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851910061 | Brett Robert Graham | Student in an Organized Health Care Education/Training Program | 1301 Medical Center Drive, 3930 The Vanderbilt Clinic, Nasvhille, TN 37232-5400 | 2020-04-09 |
| 1376538900 | Brett A Graham | Family Medicine | 1411 S Green St, Suite 130, Brownsburg, IN 46112-2049 | 2005-09-20 |
| Street Address |
550 UNIVERSITY BLVD IUHP MEDICAL & MOLECULAR GENETICS, AOC SUITE 5001 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720003 | Rebecca R Small | Family Medicine | 550 University Blvd, Uh 1501, Indianapolis, IN 46202-5149 | 2005-06-16 |
| 1952900961 | Laura Katherine Durr | Nurse Practitioner | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-10-21 |
| 1013516400 | Ramandeep Kaur Chohan | Anesthesiologist Assistant | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-10-19 |
| 1063027993 | Allison Ruth Rodriguez | Dietitian, Registered | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-09-08 |
| 1225654189 | Nichole Pullin | Physician Assistant | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-06-17 |
| 1336764992 | Laura M Lambeth | Pharmacist | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-06-10 |
| 1518580059 | Hani Shamseddeen | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-19 |
| 1609497254 | Mariana Hoyos | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-05 |
| 1760003354 | Maria Danielle Browning | Dietitian, Registered | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-05 |
| 1912527862 | Tejas Nimba Nikumbh | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154431567 | Bryan E Hainline | Medical Genetics | 975 W Walnut St, Indianapolis, IN 46202-5181 | 2006-08-30 |
| 1174555999 | Stephanie M Ware | Medical Genetics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2006-07-06 |
| 1831120229 | Bradley T Tinkle | Medical Genetics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2006-07-05 |
| 1780637058 | Indiana University Medical Genetics Service, Inc. | Medical Genetics | 975 W Walnut St, Indianapolis, IN 46202-5181 | 2006-05-18 |
| 1508822545 | David D Weaver | Medical Genetics | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2006-04-26 |
| 1487610051 | Wilfredo Torres-martinez | Medical Genetics | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356764419 | Northeast Indiana Genetics, LLC | Medical Genetics | 7230 Engle Rd, Fort Wayne, IN 46804-2209 | 2014-01-27 |
| 1174751218 | Zineb Abdelkarim Ammous | Medical Genetics | 315 Lehman Ave, #c, Topeka, IN 46571-9476 | 2009-06-27 |
| 1841478336 | Patricia I Bader | Medical Genetics | 7230 Engle Rd, Suite 140, Fort Wayne, IN 46804-2234 | 2008-02-06 |
| 1942488754 | Northwest Center Medical Services Corp. | Medical Genetics | 3400 Broadway, Gary, IN 46408-1101 | 2008-02-04 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on DR. BRETT HARRISON GRAHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.