Individual provider · Type 1 NPI

Brilyn Michelle Banister, PA-C

Medical Physician Assistant · Indianapolis, IN

NPI number 1124634936 Active

Practice location

1402 E County Line Rd Ste 2400
Indianapolis, IN 46227-0963

Call (317) 887-7880 Map

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Other practice locations

  • 100 N Walnut St, Seymour, IN 47274-2192 · (812) 523-5185

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10003071A (IN)

Medical Physician Assistant: Definition to come...

11 other providers at this address

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About NPI 1124634936

Brilyn Michelle Banister, PA-C's National Provider Identifier is 1124634936, issued on Sep 17, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Indianapolis, IN. The record was last updated on May 12, 2026.