Bloomington Rheumatology Center LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

01048956 Issued in IN

Legal business name

BLOOMINGTON RHEUMATOLOGY CENTER LLC

Practice address

3316 E Mulberry Dr
Bloomington, IN 47401-2426

Phone

(812) 330-1558

NPI assigned

Oct 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Parker Rusche, M.D.NPI 1134202880

Title

President

Phone

(812) 330-1558

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Parker Rusche, M.D.

  • Rheumatology Physician
  • Bloomington, IN
  • NPI 1134202880
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053496471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 E MULBERRY DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474012426",
            "telephone_number": "812-330-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 E MULBERRY DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474012426",
            "telephone_number": "812-330-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON RHEUMATOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSCHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-330-1558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "01048956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Medical Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.