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BLOOMINGTON ENT PC
NPI 1306816665
Otolaryngology in Bloomington, IN

Active since January 26, 2006
1791 W 3RD ST, BLOOMINGTON, IN 47404(812) 335-1300(812) 335-0300 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bloomington Ent Pc NPPES

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

BLOOMINGTON ENT PC (NPI 1306816665) is a healthcare organization registered as an otolaryngology in Bloomington, Indiana and active in the NPI registry since January 2006. The organization lists Jesse Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1306816665
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameBLOOMINGTON ENT PC
Location Address1791 W 3RD STBloomington, IN 47404-5029
Mailing Address1791 W 3rd StBloomington, IN 47404-5029 · (812) 335-1300 · Fax (812) 335-0300
Phone(812) 335-1300
Fax(812) 335-0300
Organization SubpartNo
Authorized OfficialJesse PhillipsOwner · (812) 335-1300
Enumeration DateJanuary 26, 2006
Last NPPES UpdateApril 15, 2008
✔ NPI 1306816665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01040385A
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1791 W 3RD ST, Bloomington, IN 47404
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Other Identifiers 6

Other2440326IA · Cigna
Other5818093IN · Aetna
Other546541PIN · Siho
Other000000209641IN · Anthem Bcbs
Medicare UPINF35408IN
Medicare PIN186050AIN

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 3

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

KEVIN J POWERS
Podiatrist
1791 W 3RD ST
BLOOMINGTON, IN 47404
Monroe County (812) 333-4422
KEVIN J POWERS DPM
Podiatrist
1791 W 3RD ST
BLOOMINGTON, IN 47404
Monroe County (812) 333-4422
DAVID R NORTHCUTT D.P.M.
Podiatrist (Foot & Ankle Surgery)
1791 W 3RD ST
BLOOMINGTON, IN 47404
Monroe County (812) 333-4422

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 Bloomington Ent PC's NPI number?

The NPI number for Bloomington Ent PC is 1306816665. It was assigned to this organization in the NPPES registry on January 26, 2006.

Where is Bloomington Ent PC located?

Bloomington Ent PC is located at 1791 W 3rd St, Bloomington, IN 47404. The listed phone number is (812) 335-1300.

What is Bloomington Ent PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Bloomington Ent PC was last updated on April 15, 2008. 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.