JONATHAN D HART M.D. NPI 1154300770

NPI Information

  • NPI: 1154300770
  • Provider Name: JONATHAN D HART, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2605 E CREEKS EDGE DR
    BLOOMINGTON, IN
    ZIP 47401
  • Phone: (812) 355-2300

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NPI Details

Jonathan D Hart, M.D. is a family medicine in Bloomington, IN. The provider is 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. Jonathan D Hart, M.D. NPI is 1154300770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2605 E CREEKS EDGE DR
BLOOMINGTON, IN
ZIP 47401-368
Phone: (812) 355-2300
Fax: (812) 355-2316

The enumeration date for this NPI number is 1/12/2006 and was last updated on 9/9/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine01039715INDIANANo
2208M00000XHospitalist01039715AINDIANANo
3207Q00000XFamily Medicine01039715AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E52045MEDICARE UPININDIANA
2200008900MEDICAIDINDIANA
3252630RMEDICARE PININDIANA
4M400021747MEDICARE PININDIANA

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: 11/21/2025

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