Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Indiana Urology, PC

Organization Urology Physician · NPI 1619920295

Northeast Indiana Urology, PC is an Urology Physician in Fort Wayne, Indiana. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2512 E Dupont Rd Ste 100
Fort Wayne, IN 46825-1609
Phone: (260) 436-6667
Fax: (260) 469-7437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1619920295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Brinkman — President · (260) 436-6667
NPI enumeratedMay 18, 2006
Last updated in NPPESApril 9, 2013
Mailing address2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609

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