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SUMMIT FAMILY MEDICAL CENTER
NPI 1174718050
Family Medicine in Bloomington, IL

Active since September 13, 2007
902 N HERSHEY RD, BLOOMINGTON, IL 61704(309) 662-6880(309) 662-7385 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Family Medical Center NPPES

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

SUMMIT FAMILY MEDICAL CENTER (NPI 1174718050) is a healthcare organization registered as a family medicine in Bloomington, Illinois and active in the NPI registry since September 2007. The organization lists Kenneth W Birge, Owner, as its authorized official.

NPPES Registry Identity

NPI1174718050
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUMMIT FAMILY MEDICAL CENTER
Location Address902 N HERSHEY RDBloomington, IL 61704
Mailing Address902 N Hershey RdBloomington, IL 61704 · (309) 662-6880 · Fax (309) 662-7385
Phone(309) 662-6880
Fax(309) 662-7385
Organization SubpartNo
Authorized OfficialKenneth W BirgeOwner · (309) 662-6880
Enumeration DateSeptember 13, 2007
✔ NPI 1174718050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
902 N HERSHEY RD, Bloomington, IL 61704
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Other Identifiers 1

Medicare OSCAR/certification326150

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT EDWARD PIETSCH DO
Family Medicine
902 N HERSHEY RD
BLOOMINGTON, IL 61704
McLean County (309) 662-6880

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 Summit Family Medical Center's NPI number?

The NPI number for Summit Family Medical Center is 1174718050. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Summit Family Medical Center located?

Summit Family Medical Center is located at 902 N Hershey Rd, Bloomington, IL 61704. The listed phone number is (309) 662-6880.

What is Summit Family Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Summit Family Medical Center was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.