Brandt L Ludlow, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

26302 Issued in IN

Practice address

628 S Christopher Dr
Bloomington, IN 47401-4899

Phone

(812) 323-0400

NPI assigned

Nov 3, 2005

Last updated

Apr 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brandt L Ludlow, M.D., LLC

  • Gynecology Physician
  • Bloomington, IN
  • NPI 1760661029
  Authorized official Same address or phone
• Aegis Women's Healthcare

  • Obstetrics & Gynecology Physician
  • Bedford, IN
  • NPI 1114057189
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1760473169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 S CHRISTOPHER DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014899",
            "telephone_number": "812-323-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 S CHRISTOPHER DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014899",
            "telephone_number": "812-323-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDLOW",
        "first_name": "BRANDT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "26302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100345340A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucera Speech & Rehab, LLC
• Autumn Elizabeth Lucero, MA, BCBA
• Cecelia Lucia
• Elizabeth A Lucich, MD
• Lucinda Jordan, DC, PC
• Joseph Scott Lueken, ATC
• Alexandria Lui, OD
• Kristen M Lund, DPT
• Jacob Edward Lundorf, NP
• Mackenzie Elizabeth Lupov, M.D.

• Gynecology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.