Individual provider · NPI-1

Bruce M Ackerman, M.D.

Internal Medicine, Critical Care Medicine · Indianapolis, IN

NPI number1154327633
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1154327633
Entity type
Individual (NPI-1)
Name
Bruce M Ackerman
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 21, 2005
Certification date
Oct 19, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care Medicine01043845INYes
207R00000X Internal Medicine01043845AIN

Practice location

7120 Clearvista Dr
Ste 2100
Indianapolis, IN 46256-1621

Phone 317-621-5676 · Fax 317-621-5678

Mailing address

6626 E 75th St
Suite 500
Indianapolis, IN 46250-2805

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