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BRISTOL STREET PEDIATRICS, P.C.
NPI 1619972650
Pediatrics in Elkhart, IN

Active since June 16, 2005
1627 E BRISTOL ST, ELKHART, IN 46514(574) 262-0313(574) 262-8163 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bristol Street Pediatrics, P.c. NPPES

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

BRISTOL STREET PEDIATRICS, P.C. (NPI 1619972650) is a healthcare organization registered as a pediatrics in Elkhart, Indiana and active in the NPI registry since June 2005. The organization lists Lynnette M Valentijn, Partner, as its authorized official.

NPPES Registry Identity

NPI1619972650
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBRISTOL STREET PEDIATRICS, P.C.
Location Address1627 E BRISTOL STElkhart, IN 46514-3817
Mailing Address1627 E Bristol StElkhart, IN 46514-3817 · (574) 262-0313 · Fax (574) 262-8163
Phone(574) 262-0313
Fax(574) 262-8163
Organization SubpartNo
Authorized OfficialLynnette M ValentijnPartner · (574) 262-0313
Enumeration DateJune 16, 2005
Last NPPES UpdateApril 1, 2008
✔ NPI 1619972650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01037473
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1627 E BRISTOL ST, Elkhart, IN 46514
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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 15

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

ROSEMARY J EASH FNP
Nurse Practitioner (Family)
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
MR. JORDAN ALLEN HUNSBERGER DO
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
DR. SHAHIR OKHOVAT-GHAHFAROKHI M.D.
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
DR. ANDREA BETH BONTRAGER YODER PHD, RDN, CD
Dietitian, Registered
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
DR. SU CHOO CHANG MD
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
SANDRA H. MORGAN M.D.
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
EMILY MARIE KISOR M.D.
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
JODY L SROF FNP
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313

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 Bristol Street Pediatrics, P.C.'s NPI number?

The NPI number for Bristol Street Pediatrics, P.C. is 1619972650. It was assigned to this organization in the NPPES registry on June 16, 2005.

Where is Bristol Street Pediatrics, P.C. located?

Bristol Street Pediatrics, P.C. is located at 1627 E Bristol St, Elkhart, IN 46514. The listed phone number is (574) 262-0313.

What is Bristol Street Pediatrics, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Bristol Street Pediatrics, P.C. was last updated on April 1, 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.