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

Bristol Street Pediatrics, PC

Organization Pediatrics Physician · NPI 1619972650

Bristol Street Pediatrics, PC is a Pediatrics Physician in Elkhart, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1627 E Bristol St
Elkhart, IN 46514-3817
Phone: (574) 262-0313
Fax: (574) 262-8163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01037473 (IN)

Record details

NPI number1619972650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynnette Valentijn — Partner · (574) 262-0313
NPI enumeratedJune 16, 2005
Last updated in NPPESApril 1, 2008
Mailing address1627 E Bristol St, Elkhart, IN 46514-3817

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