Active NPI
Jonathan Aubry
- Sports Medicine (Family Medicine) Physician
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 036157079
- Practice address
- 1111 Trinity LN
Bloomington, IL 61704-8111 - Phone
- (309) 661-6414
- NPI assigned
- Apr 25, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 036157079 | IL | Primary |
Addresses
Primary practice location
1111 Trinity LN
Bloomington, IL 61704-8111
Mailing address
611 W Park St
Urbana, IL 61801-2501
Other practice location 1
280 Fletcher Dr
Gainesville, FL 32611-1035
Phone (352) 392-1161
Other practice location 2
714 N Michigan St
South Bend, IN 46601-1035
Phone (574) 647-7913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 S 1St St
Champaign, IL 61820-7661
Phone (217) 383-9400
516 W Madison St
Danville, IL 61832-5657
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
1111 Trinity Ln
Bloomington, IL 61704
Phone (309) 661-6414
1111 Trinity Ln
Ste 111
Bloomington, IL 61704
Phone (309) 663-6461
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
2300 S 1st St
Champaign, IL 61820
Phone (217) 383-9400
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- jaubrymd333371@carlehiedirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1255866448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 TRINITY LN",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617048111",
"telephone_number": "309-661-6414"
}
],
"practiceLocations": [
{
"address_1": "280 Fletcher Dr",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326111035",
"country_code": "US",
"telephone_number": "352-392-1161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "714 N Michigan St",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011035",
"country_code": "US",
"telephone_number": "574-647-7913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUBRY",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-25",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IL",
"license": "036157079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.