Ross-Douglas, Brandi Kathryn

Ross-Douglas, Brandi Kathryn is an individual health care provider with primary practice located at 8701 Broadway , Merrillville IN 46410-7035. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Ross-Douglas, Brandi Kathryn can be contacted via phone (219) 738-3424.

Contact Information

Primary practice address
8701 Broadway Merrillville IN 46410-7035
Phone: (219) 738-3424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME125974 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036-115410 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 55363-20 Wisconsin
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301102000 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01065198 Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME125974 Florida

Profile Details

NPI number 1588779904
LBN Legal business name Ross-Douglas, Brandi Kathryn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jan 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588779904 NPPES
Indiana Other 000000758229 BCBS
Indiana MEDICAID 200958810 BCBS

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