Walter O Erxleben Jr., M.D.

Individual provider Active NPI Internal Medicine Physician · Bluffton, IN

NPI 1457391963 · NPPES record last updated Oct 12, 2007

Key facts

NPI
1457391963
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
01024775A (IN)
Practice address
1 Caylor Nickel SQ
Bluffton, IN 46714-2529
Phone
(260) 824-3500
Fax
(260) 919-3419
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01024775AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluffton Physician Services LLC Internal Medicine Past Accepting new patients
Caylor Nickel Clinic, PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01024775A IN Yes

Addresses

Primary practice location

1 Caylor Nickel SQ
Bluffton, IN 46714-2529

Mailing address

1 Caylor Nickel SQ
Bluffton, IN 46714-2529
Phone (260) 824-3500

Other providers in Bluffton, IN

All providers in Bluffton, IN · Internal Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.