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

Gibson Community Hospital Association

Organization Pain Medicine (Anesthesiology) Physician · NPI 1457616229

Gibson Community Hospital Association is a Pain Medicine (Anesthesiology) Physician in Bloomington, Illinois. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1015 S Mercer Ave
Bloomington, IL 61701-7107
Phone: (217) 784-4251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1457616229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Ertel — Cfo · (217) 784-2601
Other names Gibson Area Hospital Pain Clinic
NPI enumeratedJuly 9, 2012
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing address1120 N Melvin St, Gibson City, IL 60936-1477

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