Individual provider · Type 1 NPI

Brendan Matthew Tarantino, MD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1477482164 Active

Practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

350 W 14th St Rm 6057
Indianapolis, IN 46202-2369

Other practice locations

  • 720 Eskenazi Ave, Indianapolis, IN 46202-5187 · (317) 880-0000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477482164

Brendan Matthew Tarantino, MD's National Provider Identifier is 1477482164, issued on May 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on May 18, 2026.