NPI 1013734581
Ethan James Brown
Practice location
- Address
- 2027 N Dunn St, Bloomington, IN 47408-1470
- Phone
- (317) 478-4123
- Mailing address
- 7901 Kimlough Dr, Indianapolis, IN 46240-2622
Registered specialties (2)
Athletic Trainer
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1013734581
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Sep 2024
- Record last updated
- 24 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.