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Contact Information

TIMOTHY J BROACH, MD
550 UNIVERSITY BLVD # UH3005
INDIANAPOLIS, IN46202-5149
 Phone: 317-962-8851
 Fax: 317-962-5957
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY J BROACH · (Male)

NPI Number 1508822792
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2006
Last updated 03/04/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 01061214A
  • IN Medicaid 200534140
  • IN Other 000000668309 ANTHEM PTAN
  • IN Other 000001000789 ANTHEM PTAN
  • IN Other 1102213746 ANTHEM PTAN
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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