BRADLEY T TINKLE (NPI# 1831120229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831120229 |
| Entity Type | Individual |
| Full Name | BRADLEY T TINKLE |
| Credential | M.D. |
| Practice Address |
8402 Harcourt Rd Ste 300 Indianapolis IN 46260-2052 |
| Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
| Practice Telephone | 3173385288 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-04-26 |
| 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.) |
01080124A | IN | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
36.131389 | IL | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
35.080322 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 01080124A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
8402 HARCOURT RD STE 300 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749772 | Lanette C Brown-jones | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2005-12-01 |
| 1285241208 | Audrey Samuelson | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2020-09-24 |
| 1467077578 | Jori Danae Matushek | Nurse Practitioner | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2020-06-15 |
| 1508347907 | Caroline Emily Estes | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2018-08-23 |
| 1023461084 | Benjamin Commons | Nurse Practitioner | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2016-07-14 |
| 1417315029 | Afifa Elizabeth Irani | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2016-02-10 |
| 1396171674 | Lauren Bogue | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2013-09-19 |
| 1710220744 | Eric Kirtwei Chang | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2013-03-27 |
| 1750675518 | Jason L Buckner | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2011-06-08 |
| 1902017874 | Andrea Kathleen Goldyn | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 |
|---|---|---|---|---|
| 1861572117 | Brett Harrison Graham | Medical Genetics | 550 University Blvd, Iuhp Medical & Molecular Genetics, Aoc Suite 5001, Indianapolis, IN 46202 | 2006-10-17 |
| 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 |
| 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 | 46260 |
Please comment or provide details below to improve the information on BRADLEY T TINKLE.
| 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.