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PRIMARY CARE PARTNERS OF SOUTH BEND NPI 1497399927


NPI Information

NPI: 1497399927
Provider Name: PRIMARY CARE PARTNERS OF SOUTH BEND
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
300 S SAINT LOUIS BLVD STE 204
SOUTH BEND, IN
ZIP 46617
Phone: (574) 251-1200
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PRIMARY CARE PARTNERS OF SOUTH BEND is a family medicine in South Bend, 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. PRIMARY CARE PARTNERS OF SOUTH BEND NPI is 1497399927. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 S SAINT LOUIS BLVD STE 204
SOUTH BEND, IN
ZIP 46617-044
Phone: (574) 251-1200
Fax: (574) 251-1230

The provider's authorized official is Brandon Zabukovic .
The authorized official title is Managing Member and has the following contact phone number (574) 274-9425.

The enumeration date for this NPI number is 10/28/2019 and was last updated on 7/10/2020.


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
1207Q00000XFamily MedicineYes
2208000000XPediatricsNo
3363LF0000XNurse PractitionerFamilyNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.