Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bloomington ENT PC

Organization Otolaryngology Physician · NPI 1306816665

Bloomington ENT PC is an Otolaryngology Physician in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1791 W 3rd St
Bloomington, IN 47404-5029
Phone: (812) 335-1300
Fax: (812) 335-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 01040385A (IN)

Record details

NPI number1306816665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Phillips — Owner · (812) 335-1300
NPI enumeratedJanuary 26, 2006
Last updated in NPPESApril 15, 2008
Mailing address1791 W 3rd St, Bloomington, IN 47404-5029

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