IndividualActive
Lori Pegram, MD
NPI 1215947171 · Internal Medicine Physician · Bloomington, IL
Lori Pegram, MD is a Internal Medicine Physician provider in Bloomington, IL (NPI 1215947171).
Provider details
- NPI number
- 1215947171
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036072679 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
302 Saint Joseph Dr
Bloomington, IL 61701-3506
Phone: (309) 664-3100
Fax: (309) 664-3027
Street-level locationGet directions
Mailing address
302 Saint Joseph Dr
Bloomington, IL 61701-3506
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2014-04-22
Frequently asked questions
- What is Lori Pegram's NPI number?
- Lori Pegram's National Provider Identifier (NPI) is 1215947171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lori Pegram's specialty?
- Lori Pegram is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lori Pegram located?
- Lori Pegram's practice location on file with NPPES is 302 Saint Joseph Dr, Bloomington, IL 61701-3506.
- What is Lori Pegram's phone number?
- The practice phone number listed in the NPPES registry for Lori Pegram is (309) 664-3100.
- Is Lori Pegram's NPI active?
- Yes — Lori Pegram's NPI (1215947171) is active in the NPPES registry as of the last update on 2014-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.