John Brian O'Donnell in Bloomington - Family Medicine
John Brian O'Donnell - NPI 1477679405
John Brian O'Donnell is a Family Medicine in Bloomington, Indiana. John Brian O'Donnell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Brian O'Donnell is 1477679405. The last update date is 2007-12-26.
John Brian O'Donnell's current location address is 1920 East Third Street, Bloomington, Indiana. You can contact this provider via phone number 8123364006 and fax number 8123361960. The mailing address for John Brian O'Donnell is 1920 East Third Street, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Brian O'Donnell |
|---|---|
| Address | 1920 East Third Street, Bloomington, Indiana |
| Phone Number | 8123364006 |
| Fax Number | 8123361960 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477679405 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-12-26 |
Provider Mailing Address Detail
| Address | 1920 East Third Street |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474013739 |
| Phone Number | 8123364006 |
| Fax Number | 8123361960 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1043101 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200028330A | IN | -- | |
| P080071221 | IN | TRAVELLERS MCR PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Brian O'Donnell by the Centers for Medicare & Medicaid Services?
The John Brian O'Donnell has been issued the NPI (National Provider Identifier) 1477679405 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the John Brian O'Donnell's physical address?
The John Brian O'Donnell is physically located at 1920 East Third Street, in the city of Bloomington, IN, with the postal code 474013739.
What is John Brian O'Donnell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Brian O'Donnell is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477679405 to John Brian O'Donnell?
The John Brian O'Donnell received its 1477679405 assignment from the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date were the John Brian O'Donnell's details last updated?
The information pertaining to the John Brian O'Donnell, including its address, specialty, and other details, was most recently updated on 2007-12-26.