IndividualActive
Brent Mohr, MD
NPI 1710977319 · Rheumatology Physician · South Bend, IN
Provider details
- NPI number
- 1710977319
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01040434A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
211 N Eddy St
South Bend, IN 46617-2808
Phone: (574) 237-9331
Fax: (574) 239-1495
Approximate (ZIP-level) locationGet directions
Mailing address
211 N Eddy St
South Bend, IN 46617-2808
Registry dates
- Enumerated
- 2005-10-25
- Last updated
- 2016-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.