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

Dr. Matthew David Runnebohm, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346402740

Dr. Matthew David Runnebohm, MD is a Student in an Organized Health Care Education/Training Program in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
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: (317) 604-0059
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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 01069053A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346402740
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address2165 Harrodsburg Rd, Springville, IN 47462-5123

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