MATTHEW OLDENBURG
NPI 1164272142
Emergency Medicine - Emergency Medical Services in Bloomington, IL

Q: What is Matthew Oldenburg's NPI number?

The NPI number for Matthew Oldenburg is 1164272142. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Matthew Oldenburg's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Oldenburg was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2024

14880 OLD COLONIAL RD, BLOOMINGTON, IL 61705(309) 828-4641 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Matthew Oldenburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW OLDENBURG (NPI 1164272142) is an individual emergency medical services provider in Bloomington, Illinois, licensed in Illinois (001082825) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1164272142

Entity TypeIndividualMale

Primary Taxonomy207PE0004X

Provider Legal NameMATTHEW OLDENBURG

Location Address14880 OLD COLONIAL RDBloomington, IL 61705-5981

Mailing Address15817 Old Orchard RdBloomington, IL 61705-5524 · (309) 287-9157

Phone(309) 828-4641

Sole ProprietorYes

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 24, 2024

✔ NPI 1164272142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in IL · 001082825

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

14880 OLD COLONIAL RD, Bloomington, IL 61705

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Oldenburg's NPI number?

The NPI number for Matthew Oldenburg is 1164272142. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Matthew Oldenburg located?

Matthew Oldenburg practices at 14880 Old Colonial Rd, Bloomington, IL 61705. The listed phone number is (309) 828-4641.

What is Matthew Oldenburg's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Matthew Oldenburg was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.