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

Jerry Michael Jesseph

Individual provider Surgery Physician · NPI 1952359523

Jerry Michael Jesseph is a Surgery Physician in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006

Practice location Address checks out

901 W 1st St
Bloomington, IN 47403-2205
Phone: (812) 332-7277
Fax: (812) 332-0405
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 01030317A (IN)

Record details

NPI number1952359523
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 96, Smithville, IN 47458-0096

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