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

Dr. Brian David Mancke, MD

Individual provider Family Medicine Physician · NPI 1336377712

Dr. Brian David Mancke, MD is a Family Practice in Indianapolis, Indiana. Graduated from New York Medical College in 2007, 19 years ago. Practices with Atlanticare Physician Group PA, a 503-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey, Oklahoma and Pennsylvania.

Years since qualifying
19
Trained at
New York Medical College
Licensed in
NJ, OK, PA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1402 E County Line Rd
Indianapolis, IN 46227
Phone: (317) 887-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2825 Parklawn Dr, Midwest City, OK 73110-4201 — (405) 610-4411

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA10978800 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD444818 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 29995 (OK)

Record details

NPI number1336377712
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2009
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2007 (19 years in practice)
Group practice Atlanticare Physician Group Pa — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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