Active NPI
C. Andrew Hunt, MD
- Sports Medicine (Internal Medicine) Physician
- Bloomington, MN
National Provider Identifier
1720030752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 64638
- Practice address
- 8100 Northland Dr
Bloomington, MN 55431 - Phone
- (952) 831-8742
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 64638 | MN | Primary |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 036-095550 | IL |
Addresses
Primary practice location
8100 Northland Dr
Bloomington, MN 55431
Mailing address
8170 33Rd Ave S
Bloomington, MN 55425-4516
Other practice location 1
720 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000
Other practice location 2
720 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-095550 | IL | MD | Sports Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1720030752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 NORTHLAND DR",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55431",
"telephone_number": "952-831-8742"
}
],
"practiceLocations": [
{
"address_1": "720 Florsheim Dr",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "600483757",
"country_code": "US",
"telephone_number": "847-247-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 Florsheim Dr",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "600483757",
"country_code": "US",
"telephone_number": "847-247-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNT",
"first_name": "C. ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "MN",
"license": "64638",
"primary": true
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "IL",
"license": "036-095550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.