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

Billie Suzanne Odom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790246676

Billie Suzanne Odom, MD is a Neurology in Bloomington, Indiana. Qualified in 2019, 7 years ago. Practices with Kings Daughters Medical Specialties Inc, a 387-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

583 S Clarizz Blvd
Bloomington, IN 47401-5515
Phone: (812) 676-4460
Fax: (812) 355-4092
Show map & directions

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

Additional practice locations (1)

  • Medical Center Boulevard, Winston Salem, NC 27157-0001 — (336) 716-4101

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 01090478A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790246676
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kings Daughters Medical Specialties Inc — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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