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

Premier Medical Group, LLC

Organization Multi-Specialty Clinic/Center · NPI 1104649946

Premier Medical Group, LLC is a Multi-Specialty Clinic/Center in Bloomington, Indiana. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

409 W 1st St
Bloomington, IN 47403-2403
Phone: (561) 556-3721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1104649946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirill Vesselov — Manager · (561) 556-3721
NPI enumeratedOctober 31, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address2925 10th Ave N, Palm Springs, FL 33461-3000

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