Organization Active NPI

Fransen and Kulb Urology, LTD

  • Urology Physician
  • Bloomington, IL
National Provider Identifier
1457396558
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
FRANSEN AND KULB UROLOGY, LTD
Practice address
1401 Eastland Dr
Suite B
Bloomington, IL 61701-3514
Phone
(309) 663-9424
Fax
(309) 663-6350
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas B Kulb, M.D.
Title
President
Phone
(309) 663-9424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X IL Primary

Addresses

Primary practice location

1401 Eastland Dr
Suite B
Bloomington, IL 61701-3514

Mailing address

1401 Eastland Dr
Suite B
Bloomington, IL 61701-3514
Phone (309) 663-9424

Other identifiers 3

IdentifierTypeStateIssuer
5732045OtherILGROUP BCBS PROVIDER
P00100008OtherILRAILROAD MEDICARE
0723870001OtherILGROUP DME PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

1405 Eastland Dr
Ste B
Bloomington, IL 61701
Phone (309) 663-9424

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457396558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 EASTLAND DR",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013514",
            "telephone_number": "309-663-9424",
            "fax_number": "309-663-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 EASTLAND DR",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013514",
            "telephone_number": "309-663-9424",
            "fax_number": "309-663-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANSEN AND KULB UROLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULB",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-663-9424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS PROVIDER",
            "identifier": "5732045",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00100008",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP DME PROVIDER NUMBER",
            "identifier": "0723870001",
            "state": "IL"
        }
    ],
    "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 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.