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DR. KENT PHILIP BRANTLY M.D.
NPI 1063745768
Family Medicine in Indianapolis, IN

Active since September 12, 2009PECOS Enrolled
10122 E 10TH ST STE 100, INDIANAPOLIS, IN 46229(317) 355-5717 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kent Philip Brantly M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENT PHILIP BRANTLY M.D. (NPI 1063745768) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01096271A) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1063745768
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENT PHILIP BRANTLYCredential: M.D.
Location Address10122 E 10TH ST STE 100Indianapolis, IN 46229-2697
Mailing Address1617 Hemphill StFort Worth, TX 76104-4709 · (817) 702-2396
Phone(317) 355-5717
Sole ProprietorNo
Enumeration DateSeptember 12, 2009
Last NPPES UpdateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1063745768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01096271A✔ Licensed in TX · P0816
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10122 E 10TH ST STE 100, Indianapolis, IN 46229
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Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-2396

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kent Philip Brantly M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kent Brantly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jane Pauley Community Health Center Inc
0.4 mi
Federally Qualified Health Center (FQHC)
1503 N MITTHOEFFER RD STE 150
Indianapolis, IN 46229
  • Reassigned Medicare billing, Indiana enrollment
  • 153 clinicians in this Medicare group
NPI 1730488818 (317) 934-0755
Community Physicians Of Indiana Inc
7.7 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555
Acclaim Physician Group, Inc
797 mi
Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group
NPI 1780076562 (817) 702-6770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN AMANDA CALLAHAN
Nurse Practitioner (Family)
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
SHELBY N O'BRIEN LCSW
Social Worker (Clinical)
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (616) 826-7303
AARON THARP DO
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
DR. ALISON CASE MD
Family Medicine
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
CAITLIN SHIVAUN WELCH MD
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (931) 252-5036
KATHERINE MORAVEC DO
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
ZEINAB O HASSAN MD
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
SEHRRISH AHMED DO
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kent Brantly's NPI number?

The NPI number for Kent Brantly is 1063745768. It was assigned to this individual provider in the NPPES registry on September 12, 2009.

Where is Kent Brantly located?

Kent Brantly practices at 10122 E 10th St Ste 100, Indianapolis, IN 46229. The listed phone number is (317) 355-5717.

What is Kent Brantly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kent Brantly enrolled in Medicare?

Yes. Kent Brantly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kent Brantly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kent Brantly reassigns Medicare benefits to 3 organizations: Jane Pauley Community Health Center Inc (Indianapolis, IN), Community Physicians Of Indiana Inc (Indianapolis, IN) and Acclaim Physician Group, Inc (Fort Worth, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kent Brantly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kent Brantly accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Louisiana Healthcare Connections and 8 other insurers list Kent Brantly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kent Brantly was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.