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

Dr. Otis George Allen, MD

Individual provider Plastic Surgery Physician · NPI 1306847900

Dr. Otis George Allen, MD is a Plastic and Reconstructive Surgery in Bloomington, Illinois. Qualified in 1977, 49 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
49
Licensed in
IL
In the registry since
2005
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

1215 Holiday Dr
Bloomington, IL 61704-2214
Phone: (309) 827-3881
Fax: (309) 661-0234
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 036064804 (IL)

Record details

NPI number1306847900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2005
Last updated in NPPESAugust 17, 2016

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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