IndividualActive
Kenneth Brantley, MD
NPI 1609825017 · Critical Care Medicine (Internal Medicine) Physician · Indianapolis, IN
Provider details
- NPI number
- 1609825017
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 6726 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1801 N Senate Blvd
Ste 230
Indianapolis, IN 46202-1252
Phone: (317) 962-5820
Fax: (317) 962-3916
Approximate (ZIP-level) locationGet directions
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Additional practice locations (1)
- 1155 Mill StReno, NV 89502-1576Phone: (775) 982-7878Fax: (775) 982-4196
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2020-02-07
- Certified
- 2020-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.