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

Madison Bree Mantyla, MD

Individual provider Pediatrics Physician · NPI 1548965619

Madison Bree Mantyla, MD is a Pediatric Medicine in Lawrenceburg, Indiana. Qualified in 2023, 3 years ago. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
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

98 Elm St
Lawrenceburg, IN 47025-2048
Phone: (812) 496-8777
Fax: (812) 537-9974
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01100308A (IN)

Record details

NPI number1548965619
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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