GARY R. BRIGHAM (NPI# 1972500999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972500999 |
| Entity Type | Individual |
| Full Name | GARY R. BRIGHAM |
| Credential | M.D. |
| Practice Address |
1205 S Main St Ste 101 Crown Point IN 46307-3677 |
| Mailing Address |
1205 S Main St Suite 101 Crown Point IN 46307-3677 |
| Practice Telephone | 2196620077 |
| Practice Fax Number | 2196612155 |
| Mailing Telephone | 2196620077 |
| Mailing Fax Number | 2196612155 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2018-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01041362A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
01041362 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200127970A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447477682 | Gary P Brigham | Dentist | 9301 E Shea Blvd Ste 111, Scottsdale, AZ 85260-6735 | 2007-04-19 |
| Street Address |
1205 S MAIN ST STE 101 |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-3677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825930 | Meghan Tuominen | Physician Assistant | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2020-06-15 |
| 1689190100 | Kaitlin Kendys | Nurse Practitioner | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2017-08-16 |
| 1679019863 | Joshua Puig | Physician Assistant | 1205 S Main St Ste 101, Crown Point, IN 46307 | 2017-01-11 |
| 1841649480 | Catherine Rose Lara | Nurse Practitioner | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2016-06-04 |
| 1841477551 | Kelly Renee Rychter | Internal Medicine | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2008-01-24 |
| 1861507253 | Daniel Richard Meldrum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1205 S Main St Ste 101, Crown Point, IN 46307 | 2006-08-19 |
| 1487619805 | Tariq Hameed | Internal Medicine | 1205 S Main St Ste 101, Crown Point, IN 46307 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| 1013111368 | Cardiac Care Center of Louisville, Pllc | Internal Medicine | 1451 N Gardner St # 31, Scottsburg, IN 47170-7751 | 2007-06-12 |
| 1689883811 | Medical Center Cardiologists, Psc | Internal Medicine | 1451 N Gardner Hwy 31, Scottsburg, IN 47170 | 2007-05-22 |
| 1518176486 | Medical Center Cardiologists, Psc | Internal Medicine | 213 Hunter Station Rd, Sellersburg, IN 47172-1879 | 2007-05-21 |
| 1841372869 | Fei Lu | Internal Medicine | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545 | 2006-10-19 |
| 1497704514 | Cardiospecialists Group, Ltd | Internal Medicine | 2150 Gettler St, Suite 122, Dyer, IN 46311-2380 | 2006-05-08 |
| 1194700500 | Leonard Alan Steinberg | Internal Medicine | 8333 Naab Rd Ste 320, Indianapolis, IN 46260-1983 | 2005-12-08 |
| 1417939885 | Raghuram Dasari | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
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| 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.