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

Dr. Kent Philip Brantly, MD

Individual provider Family Medicine Physician · NPI 1063745768

Dr. Kent Philip Brantly, MD is a Family Practice in Indianapolis, Indiana. Graduated from Indiana University School of Medicine in 2009, 17 years ago. Works from 2 locations. Licensed in Indiana and Texas.

Years since qualifying
17
Trained at
Indiana University School of Medicine
Licensed in
IN, TX
In the registry since
2009
Specialties on file
2
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

10122 E 10th St Ste 100
Indianapolis, IN 46229-2697
Phone: (317) 355-5717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 S Main St, Fort Worth, TX 76104-4917 — (817) 702-2396

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01096271A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence P0816 (TX)

Record details

NPI number1063745768
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2009
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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