Provider Demographics
NPI:1699779579
Name:INMAN, BRUCE CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:CHRISTOPHER
Last Name:INMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8244 E US HIGHWAY 36
Mailing Address - Street 2:STE 1210
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-9688
Mailing Address - Country:US
Mailing Address - Phone:317-272-8272
Mailing Address - Fax:317-272-7507
Practice Address - Street 1:8244 E US HIGHWAY 36
Practice Address - Street 2:STE 1210
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-9688
Practice Address - Country:US
Practice Address - Phone:317-272-8272
Practice Address - Fax:317-272-7507
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2013-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01036203208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200007770Medicaid
IN200007770Medicaid