Brian J Logue is a Urology in Bloomington, Indiana. Brian J Logue practices all healthcare services and medical treatments related to Urology. The NPI Number for Brian J Logue is 1467450767. The last update date is 2017-12-11.
Brian J Logue's current location address is 2907 Mcintyre Dr, Bloomington, Indiana. You can contact this provider via phone number 8123328765 and fax number 8123363425. The mailing address for Brian J Logue is 2907 Mcintyre Dr, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian J Logue |
|---|---|
| Address | 2907 Mcintyre Dr, Bloomington, Indiana |
| Phone Number | 8123328765 |
| Fax Number | 8123363425 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467450767 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2017-12-11 |
Provider Mailing Address Detail
| Address | 2907 Mcintyre Dr |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474034209 |
| Phone Number | 8123328765 |
| Fax Number | 8123363425 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 01037620A |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100167090 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brian J Logue by the Centers for Medicare & Medicaid Services (CMS)?
The Brian J Logue has been assigned the NPI (National Provider Identifier) 1467450767. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Brian J Logue?
The Brian J Logue is situated at 2907 Mcintyre Dr, in the city of Bloomington, state of IN, with the zip code 474034209.
What is Brian J Logue's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian J Logue's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
When did the Brian J Logue receive its 1467450767?
The Brian J Logue was issued its 1467450767 on 2005-07-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Brian J Logue most recently updated or revised?
The information pertaining to Brian J Logue, including its address, specialty, and other relevant details, was last updated or revised on 2017-12-11.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH