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

Mary Montgomery, PA-C

Individual provider Physician Assistant · NPI 1225950488

Mary Montgomery, PA-C is a Physician Assistant in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2100 S Liberty Dr
Bloomington, IN 47403-5147
Phone: (812) 676-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10005406A (IN)

Record details

NPI number1225950488
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address2100 S Liberty Dr, Bloomington, IN 47403-5147

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