Brandt L Ludlow, M.D., LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

26302 Issued in IN

Legal business name

BRANDT L LUDLOW, M.D., LLC

Practice address

411 W 1St St
Bloomington, IN 47403-2403

Phone

(812) 323-0400

Fax

(812) 245-6147

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brandt L Ludlow, M.D.

Title

M.D.

Phone

(812) 323-0400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1760661029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 1ST ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032403",
            "telephone_number": "812-323-0400",
            "fax_number": "812-245-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 1ST ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032403",
            "telephone_number": "812-323-0400",
            "fax_number": "812-245-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDT L LUDLOW, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "LUDLOW",
        "authorized_official_first_name": "BRANDT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "812-323-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "26302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 2, 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.