OrganizationActive
Cerebrocare of Indiana, LLC
NPI 1659062099 · Neurology Physician · Lafayette, IN
Provider details
- NPI number
- 1659062099
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bruce Ballet, Executive Vp(860) 771-0622
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Practice location
130 Professional Ct
Lafayette, IN 47905-5153
Phone: (219) 588-8000
Approximate (ZIP-level) locationGet directions
Mailing address
34 Wells Dr
Farmington, CT 06032-3104
Additional practice locations (1)
- 255 E 90th DrMerrillville, IN 46410-8144Phone: (219) 456-0400
Registry dates
- Enumerated
- 2023-05-17
- Last updated
- 2023-08-11
- Certified
- 2023-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.