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

Jeffrey Alan Dedelow, MD

Individual provider Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1376758524

Jeffrey Alan Dedelow, MD is a Hospice and Palliative Medicine (Internal Medicine) Physician in Bloomington, Indiana. Works from 2 locations. Licensed in Indiana, Louisiana, Michigan and Ohio.

Licensed in
IN, LA, MI, OH
In the registry since
2007
Specialties on file
6
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

514 W 2nd St
Bloomington, IN 47403-2316
Phone: (812) 353-3719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 429 S Landmark Ave, Bloomington, IN 47403-5003 — (812) 332-8242

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01069197A (IN)
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X · Licence 01069197A (IN)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 4301089258 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD026741 (LA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301089258 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.122017 (OH)

Record details

NPI number1376758524
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2007
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

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