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BLOOMINGTON OBSTETRICS AND GYNECOLOGY LLC NPI 1760427397


NPI Information

NPI: 1760427397
Provider Name: BLOOMINGTON OBSTETRICS AND GYNECOLOGY, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
421 W 1ST ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 336-0168
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BLOOMINGTON OBSTETRICS AND GYNECOLOGY, LLC is an obstetrics gynecology in Bloomington, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BLOOMINGTON OBSTETRICS AND GYNECOLOGY, LLC NPI is 1760427397. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

421 W 1ST ST
BLOOMINGTON, IN
ZIP 47403-403
Phone: (812) 336-0168
Fax: (812) 355-7372

The provider's authorized official is Leland R Matthews .
The authorized official title is Partner and has the following contact phone number (812) 336-0168.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 10/26/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1248430EMEDICARE PIN
2S88939MEDICARE UPIN
3248430DMEDICARE PIN
4E03779MEDICARE UPIN
5248430AMEDICARE PIN
6248430MEDICARE PININDIANA
7B29178MEDICARE UPIN
8F48968MEDICARE UPIN
9248430FMEDICARE PIN
10248430BMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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