David Rudolf Fletcher, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01040668 Issued in IN

Practice address

126 S. Hampton CT
Bloomington, IN 47408

Phone

(812) 322-5779

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: david.fletcher@iushc.eclinicaldirectplus.com

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1376614008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S. HAMPTON CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47408",
            "telephone_number": "812-322-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S. HAMPTON CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47408",
            "telephone_number": "812-322-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "DAVID",
        "middle_name": "RUDOLF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01040668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callista Flamion
• Morgan M Fleck, MS, RD, CD
• Michelle D Fleener, NP
• Jenny R Fleetwood, LMHC, MS
• Leah Melissa Fleetwood, P.A.
• Richard W Flint, MD
• Joshua B Florez, PA-C
• Beth E Florini, MD
• Mark Stafford Floyd, M.D.
• Nathan Floyd, LCSW

• General Practice Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.