Philip S. Behn, M.D.
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Bloomington, IN
NPI 1790780609 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1790780609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 01050702A (IN)
- Practice address
- 4885 W Summer CT
Bloomington, IN 47404-9595 - Phone
- (812) 606-6278
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ima, Inc. | Endocrinology, Diabetes & Metabolism | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 01050702A | IN | Yes |
Addresses
Primary practice location
4885 W Summer CT
Bloomington, IN 47404-9595
Mailing address
4885 W Summer CT
Bloomington, IN 47404-9595
Phone (812) 327-9282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200234460 | Medicaid | IN |
Other providers in Bloomington, IN
- Mark Beebe
- Heather Beery
- Carolyn Begley
- Lindsay S Begley
- Maria Behling
- Rachel Mira Behrend
- Aris Beldavs
- Bell Trace Health & Living
- Bell Trace Health & Living Center
- Bell Trace Health and Living Center
All providers in Bloomington, IN · Endocrinology, Diabetes & Metabolism Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.