IndividualActive
Brilyn Banister, PA-C
NPI 1124634936 · Medical Physician Assistant · Indianapolis, IN
Provider details
- NPI number
- 1124634936
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10003071A (IN)
Practice location
1402 E County Line Rd Ste 2400
Indianapolis, IN 46227-0963
Phone: (317) 887-7880
Mailing address
6626 E 75th St Ste 500
Indianapolis, IN 46250-2890
Registry dates
- Enumerated
- 2020-09-17
- Last updated
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.