Philip S. Behn, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

01050702A Issued in IN

Practice address

4885 W Summer CT
Bloomington, IN 47404-9595

Phone

(812) 606-6278

NPI assigned

Jun 16, 2005

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Ima, Inc.

  • Internal Medicine Physician
  • Bloomington, IN
  • NPI 1710974266

  Endocrinology, Diabetes & Metabolism

  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1790780609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 W SUMMER CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049595",
            "telephone_number": "812-327-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 W SUMMER CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049595",
            "telephone_number": "812-606-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHN",
        "first_name": "PHILIP",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01050702A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200234460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Beery, LCSW
• Bailey Beesley
• Carolyn Begley, O.D.
• Lindsay S Begley
• Maria Behling
• Rachel Mira Behrend, NP
• Aris Beldavs, LMHC
• Bell Trace Health & Living
• Bell Trace Health & Living Center
• Bell Trace Health and Living Center

• Endocrinology, Diabetes & Metabolism Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Endocrinology, Diabetes & Metabolism Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.