| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1669428603 | BOUGHNER | BRICE | T. | PO BOX 3239 | INDIANAPOLIS | IN | 462063239 | |
| 1366599243 | GRIPPO | DANIEL | AARON | PO BOX 3239 | INDIANAPOLIS | IN | 462063239 | |
| 1073531042 | GRIPPO | JAMES | DAVID | PO BOX 3239 | INDIANAPOLIS | IN | 462063239 | |
| 1578541439 | SHACKELFORD | DAVID | M | PO BOX 3239 | INDIANAPOLIS | IN | 462063239 | |
| 1508064890 | SMITH | MARVIN | MONTGOMERY | PO BOX 3239 | INDIANAPOLIS | IN | 462063239 |