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

Providence Medical Associates LLC

Organization Medical Specialty Clinic/Center · NPI 1326654070

Providence Medical Associates LLC is a Medical Specialty Clinic/Center in Indianapolis, Indiana. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1935 N Capitol Ave Ste 107
Indianapolis, IN 46202-6403
Phone: (716) 686-2104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1326654070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olufunke Brimmo-Longe — Owner · (716) 686-2104
NPI enumeratedSeptember 18, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address4000 W 106th St Ste 125-207, Carmel, IN 46032-7720

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