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BRIAN J. LOGUE MD. PC NPI 1285604199


NPI Information

NPI: 1285604199
Provider Name: BRIAN J. LOGUE MD. PC

Doing Business As: SUMMIT UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization
Address:
2907 S. MCINTIRE DR
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 332-8765
Get Directions

BRIAN J. LOGUE MD. PC is an urology in Bloomington, IN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BRIAN J. LOGUE MD. PC NPI is 1285604199. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Summit Urology.

The provider's business location address is:

2907 S. MCINTIRE DR
BLOOMINGTON, IN
ZIP 47403-224
Phone: (812) 332-8765
Fax: (812) 336-3425

The provider's authorized official is Brian J Logue .
The authorized official title is Owner and has the following contact phone number (812) 332-8765.

The enumeration date for this NPI number is 1/24/2006 and was last updated on 1/16/2018.


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
1208800000XUrologyYes

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
1000000098138OTHERINDIANAANTHEM BLUE SHIELD
2CD6715OTHERINDIANATRAVELERS MEDICARE
3200175020AMEDICAIDINDIANA

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: 4/28/2024

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