OrganizationActive
Bloomington Ent PC
NPI 1306816665 · Otolaryngology Physician · Bloomington, IN
Provider details
- NPI number
- 1306816665
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jesse Phillips, Owner(812) 335-1300
- License
- 01040385A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1791 W 3rd St
Bloomington, IN 47404-5029
Phone: (812) 335-1300
Fax: (812) 335-0300
Approximate (ZIP-level) locationGet directions
Mailing address
1791 W 3rd St
Bloomington, IN 47404-5029
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2008-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.