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

Dr. Emmett C Willis IV, MD

Individual provider Emergency Medicine Physician · NPI 1730281650

Dr. Emmett C Willis IV, MD is an Emergency Medicine Physician in Bloomington, Indiana. Licensed in Indiana and North Carolina. Registered with an NPI since 2006.

Licensed in
IN, NC
In the registry since
2006
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

601 W 2nd St
Bloomington, IN 47403-2317
Phone: (812) 353-6821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2007-00783 (NC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01057781A (IN)

Record details

NPI number1730281650
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESMarch 7, 2023

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