OrganizationActive
Ent Associates of Southern Indiana, P.C.
NPI 1619048402 · Otolaryngology Physician · Bedford, IN
Provider details
- NPI number
- 1619048402
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Denise West, Office Manager(812) 332-2226
- License
- 50000616A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2129 16th St
Bedford, IN 47421-3003
Phone: (812) 277-0788
Fax: (812) 339-2934
Approximate (ZIP-level) locationGet directions
Mailing address
2920 Mcintyre Dr
Bloomington, IN 47403-4221
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.