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

Pain Management Center of Southern Indiana

Organization Anesthesiology Physician · NPI 1417284415

Pain Management Center of Southern Indiana is an Anesthesiology Physician in Bloomfield, Indiana. Licensed in Indiana. Registered with an NPI since 2009.

Licensed in
IN
In the registry since
2009
Specialties on file
2

Practice location Address checks out

12 W Main St
Bloomfield, IN 47424-1424
Phone: (812) 824-5690
Fax: (812) 824-5692
Show map & directions

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

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X (IN)
Anesthesiology Physician Taxonomy 207L00000X (IN)

Record details

NPI number1417284415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamal Tiwari — Owner · (812) 333-7246
NPI enumeratedNovember 11, 2009
Last updated in NPPESNovember 11, 2009
Mailing address4330 S Rockport Rd, Bloomington, IN 47403-9765