Active NPI
Monroe Family Practice, LLC
- Family Medicine Physician
- Bloomington, IN
National Provider Identifier
1457570541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Emergency Medicine Physician
- Bedford, IN
- NPI 1962516013
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Hartford, WI
- NPI 1427156553
Family Medicine
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.