PHILIP CLARK BRITTAIN (NPI# 1073508040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073508040 |
| Entity Type | Individual |
| Full Name | PHILIP CLARK BRITTAIN |
| Credential | DO |
| Practice Address |
642 S Walker St Bloomington IN 47403-2158 |
| Practice Telephone | 8123319160 |
| Practice Fax Number | 8123360277 |
| Mailing Telephone | 8123319160 |
| Mailing Fax Number | 8123360277 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2016-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
02001508 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200016270 | 05 |
| Street Address |
642 S WALKER ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962497933 | Mary Mahern | Family Medicine | 642 S Walker St, Bloomington, IN 47403-2158 | 2005-09-15 |
| 1215908827 | Clark Brittain Do PC | Family Medicine | 642 S Walker St, Bloomington, IN 47403-2158 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1528369428 | Center for Optimal Health | Obstetrics & Gynecology | 415 W First Street, Bloomington, IN 47403 | 2010-11-09 |
| 1760473169 | Brandt L Ludlow | Obstetrics & Gynecology | 628 S Christopher Dr, Bloomington, IN 47401-4899 | 2005-11-03 |
| 1922093137 | Robert William Richey | Obstetrics & Gynecology | 654 S Walker St, Bloomington, IN 47403-2159 | 2005-09-14 |
| 1437159704 | Sun San Lin | Obstetrics & Gynecology | 2205 Oakwood Ave, Bloomington, IL 61704-2413 | 2005-07-28 |
| 1760661029 | Brandt L Ludlow, M.d., LLC | Obstetrics & Gynecology | 411 W 1st St, Bloomington, IN 47403-2403 | 2007-11-02 |
| 1346363983 | Womens Health Associates of Central Il, Ltd | Obstetrics & Gynecology | 1505 Eastland Dr, Suite 250, Bloomington, IL 61701-3534 | 2007-04-09 |
| 1780700229 | Rebecca Brewer Md LLC | Obstetrics & Gynecology | 3925 Hagan St, Suite 104, Bloomington, IN 47401-8556 | 2007-03-22 |
| 1982736062 | Wendy Kinsey Corning, M.d., LLC | Obstetrics & Gynecology | 383 S Park Ridge Rd, Suite 102, Bloomington, IN 47401-8574 | 2007-03-12 |
| 1295765634 | Gynecology Associates, PC | Obstetrics & Gynecology | 654 S Walker St, Bloomington, IN 47403-2159 | 2006-07-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.