David J Licini, MD
David J Licini, MD is an Orthopedic Surgery in Bloomington, Indiana. Graduated from Indiana University School of Medicine in 2007, 19 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 19
- Trained at
- Indiana University School of Medicine
- Licensed in
- IN
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1302 S Rogers StBloomington, IN 47403-4752
Phone: (812) 333-2663
Fax: (812) 676-4131
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 — (812) 355-2300
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 01071339A (IN) |
|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | Taxonomy 207XS0114X · Licence 01071339A (IN) |
Record details
| NPI number | 1801086343 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 31, 2007 |
| Last updated in NPPES | October 27, 2021 |
| Certification date | October 27, 2021 |
| Mailing address | 250 N Shadeland Ave, Indianapolis, IN 46219-4959 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2007 (19 years in practice) |
| Group practice | Iu Health Medical Group, Llc — 4351 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |