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BLOOMINGTON MEDICAL DISTRIBUTION LLC
NPI 1669918009
Durable Medical Equipment & Medical Supplies in Bloomington, IL

Active since January 09, 2017
1111 TRINITY LN, SUITE 111, BLOOMINGTON, IL 61704(309) 306-7574 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2019, Mar 13, 2017, Jan 9, 2017 (3 updates tracked since 2017).

About Bloomington Medical Distribution Llc NPPES

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

BLOOMINGTON MEDICAL DISTRIBUTION LLC (NPI 1669918009) is a healthcare organization registered as a durable medical equipment & medical supplies in Bloomington, Illinois and active in the NPI registry since January 2017. The organization lists Melissa Redondo, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1669918009
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBLOOMINGTON MEDICAL DISTRIBUTION LLC
Location Address1111 TRINITY LN, SUITE 111Bloomington, IL 61704-8111
Mailing Address2045 W Grand Ave, Ste B #97551Chicago, IL 60612 · (309) 306-7574
Phone(309) 306-7574
Organization SubpartNo
Authorized OfficialMelissa RedondoGeneral Counsel · (309) 306-7574
Enumeration DateJanuary 9, 2017
Last NPPES UpdateMay 6, 20193 updates tracked since enumeration
✔ NPI 1669918009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1111 TRINITY LN, Bloomington, IL 61704
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Other Providers at the Same Location NPPES 19

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

DR. ALISSA RECKER P.T.
Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
COURTNEY YAMADA PT, MS
Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
MARY A MEISMER OTR/L, CHT (NBCOT)
Occupational Therapist (Hand)
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
MR. CHARLES LEWIS ROGERS OPA-C
Specialist/Technologist, Other (Surgical Assistant)
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
JONATHAN AUBRY
Family Medicine (Sports Medicine)
1111 TRINITY LN
BLOOMINGTON, IL 61704
McLean County (309) 661-6414
TYLER JORDAN NEAL D.O.
Orthopaedic Surgery
1111 TRINITY LN
BLOOMINGTON, IL 61704
McLean County (309) 608-5100
MR. BRYAN D JASKER PT
Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
NICHOLAS CHRISTOPHER BURKE PT
Physical Therapist
1111 TRINITY LN
BLOOMINGTON, IL 61704
McLean County (309) 663-6461

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 Medical Distribution LLC's NPI number?

The NPI number for Bloomington Medical Distribution LLC is 1669918009. It was assigned to this organization in the NPPES registry on January 9, 2017.

Where is Bloomington Medical Distribution LLC located?

Bloomington Medical Distribution LLC is located at 1111 Trinity Ln Suite 111, Bloomington, IL 61704. The listed phone number is (309) 306-7574.

What is Bloomington Medical Distribution LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Bloomington Medical Distribution LLC was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.