Organization · Type 2 NPI
Neurosurgical Clinic of Bloomington Inc P.c.
Specialist · Bloomington, IN
NPI number
1205821899
Active
Practice location
700 S College Ave, Suite A
Bloomington, IN 47403-2500
Fax (812) 331-1096
Mailing address
700 S College Ave Ste A
Bloomington, IN 47403-2512
Other practice locations
- 815 W 2nd St, Bloomington, IN 47403-2212 · (812) 331-8168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 01039391 (IN) |
| Specialist Primary | 174400000X | 01040149 (IN) |
| Specialist | 174400000X | 01051484 (IN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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About NPI 1205821899
Neurosurgical Clinic of Bloomington Inc P.c.'s National Provider Identifier is 1205821899, issued on Sep 20, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bloomington, IN. The record was last updated on Sep 16, 2026.