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INDIANA UNIVERSITY SPORTS MEDICINE
NPI 1336538917
Family Medicine in Bloomington, IN

Active since January 20, 2015
1001 E 17TH ST, ASSEMBLY HALL, BLOOMINGTON, IN 47408(812) 237-3883(972) 367-3451 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Indiana University Sports Medicine NPPES

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

INDIANA UNIVERSITY SPORTS MEDICINE (NPI 1336538917) is a healthcare organization registered as a family medicine in Bloomington, Indiana and active in the NPI registry since January 2015. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1336538917
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHE TRUSTEES OF INDIANA UNIVERSITY
Location Address1001 E 17TH ST, ASSEMBLY HALLBloomington, IN 47408-1590
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995 · (800) 555-9073 · Fax (972) 367-3452
Phone(812) 237-3883
Fax(972) 367-3451
Organization SubpartNo
Authorized OfficialMouzon BassAgent · 18005559073
Enumeration DateJanuary 20, 2015
✔ NPI 1336538917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
1001 E 17TH ST, Bloomington, IN 47408
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Other Names 1

Doing Business AsIndiana University Sports Medicine

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JONATHAN WICKS ATC, LAT, M.ED
Psychiatry & Neurology (Sports Medicine)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (812) 855-7920
MITCH TAFFE M.S., ATC, CSCS
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST, ATHLETIC TRAINING
BLOOMINGTON, IN 47408
Monroe County (320) 305-1147
MR. ROBERT E BLACK ATC
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (812) 856-2225
GABRIELLE LANGERUD
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (320) 493-3783
MS. WENDELINE K. POPPY PT, LAT, ATC
Physical Therapist
1001 E 17TH ST, ASSEMBLY HALL
BLOOMINGTON, IN 47408
Monroe County (812) 855-8429
JENNIFER ANNE HAMILTON MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (347) 556-4478
MR. JOSEPH SCOTT LUEKEN ATC
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST, ASSEMBLY HALL
BLOOMINGTON, IN 47408
Monroe County (812) 855-3619
SARA GILMARTIN
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (812) 855-4509

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 The Trustees Of Indiana University's NPI number?

The NPI number for The Trustees Of Indiana University is 1336538917. It was assigned to this organization in the NPPES registry on January 20, 2015. The provider is doing business as Indiana University Sports Medicine.

Where is The Trustees Of Indiana University located?

The Trustees Of Indiana University is located at 1001 E 17th St Assembly Hall, Bloomington, IN 47408. The listed phone number is (812) 237-3883.

What is The Trustees Of Indiana University'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 The Trustees Of Indiana University was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.