OrganizationActive
Northeast Indiana Urology PC
NPI 1164600052 · Durable Medical Equipment & Medical Supplies · Kendallville, IN
Provider details
- NPI number
- 1164600052
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- John Brinkman, President(260) 436-6667
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
213 Fairview Blvd
Kendallville, IN 46755-2988
Phone: (260) 436-6667
Fax: (260) 469-7437
Street-level locationGet directions
Mailing address
2512 E Dupont Rd
Fort Wayne, IN 46825
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2012-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.