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

Ethan James Brown

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013734581

Ethan James Brown is a Student in an Organized Health Care Education/Training Program in Bloomington, Indiana. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

2027 N Dunn St
Bloomington, IN 47408-1470
Phone: (317) 478-4123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013734581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address7901 Kimlough Dr, Indianapolis, IN 46240-2622

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