Organization Active NPI

Monroe Family Practice, LLC

  • Family Medicine Physician
  • Bloomington, IN
National Provider Identifier
1457570541
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONROE FAMILY PRACTICE, LLC
Practice address
3209 W Fullerton Pike
Suite B
Bloomington, IN 47403-4057
Phone
(812) 825-5191
Fax
(812) 825-5197
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Mr. Robert Stancombe
Title
Partner
Phone
(812) 825-5191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3209 W Fullerton Pike
Suite B
Bloomington, IN 47403-4057

Mailing address

3209 W Fullerton Pike
Suite B
Bloomington, IN 47403-4057
Phone (812) 825-5191

National Provider Directory

National Provider Directory

Locations

3209 W Fullerton Pike
Ste B
Bloomington, IN 47403
Phone (812) 825-5191

3209 W Fullerton Pike
#B
Bloomington, IN 47403
Phone (812) 825-5155

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1457570541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W FULLERTON PIKE",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034057",
            "telephone_number": "812-825-5191",
            "fax_number": "812-825-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W FULLERTON PIKE",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034057",
            "telephone_number": "812-825-5191",
            "fax_number": "812-825-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "STANCOMBE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "812-825-5191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.