Search › Indiana › 207X00000X
Bradley Vivace, MD
NPI 1609372994 · on the registry since 2018
Practice
- Address
- 1801 N Senate Blvd
Indianapolis, IN 46202 - Phone
- (317) 944-3636
- Organisation at this address
- Ccsg Llc
Tower Surgical, Inc
Methodist Urology, Llc
Meridian Medical Group Pc
Meridian Medical Group PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 274
Additional practice sites
- 1 Hospital Dr, Columbia, MO
- 350 W 14th St, Indianapolis, IN
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 390200000X
207X00000X - Licence states on file
- IN, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana