DR. DAVID RUDOLF FLETCHER (NPI# 1376614008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376614008 |
| Entity Type | Individual |
| Full Name | DR. DAVID RUDOLF FLETCHER |
| Credential | MD |
| Practice Address |
126 S. Hampton Ct Bloomington IN 47408 |
| Practice Telephone | 8123225779 |
| Mailing Telephone | 8123225779 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2014-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01040668 | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962691238 | David Andrew Fletcher | Physical Therapist | 65 Old Solomons Island Rd, Ste 104, Annapolis, MD 21401-3841 | 2007-10-23 |
| 1356497895 | David Simpson Fletcher | Chiropractor | 1323 Darlington Ave, Crawfordsville, IN 47933-2006 | 2007-01-26 |
| 1639243868 | David J Fletcher | Family Medicine | 1806 N Market St, Champaign, IL 61822 | 2006-11-20 |
| 1144242348 | David King Fletcher | Pain Medicine | 816 S Fleishel Ave, Tyler, TX 75701-2016 | 2006-07-24 |
| 1306262050 | David Fletcher | Counselor | 607 W 7th St, Appleton, WI 54911-5923 | 2014-03-05 |
| 1548461643 | David Troy Fletcher | Family Medicine | 1550 Eatonton Rd, Madison, GA 30650-4627 | 2007-05-29 |
| 1891743860 | David Fletcher | Emergency Medicine | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-05-04 |
| Street Address |
126 S. HAMPTON CT |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079398 | Ta-kisha Jones | Health Educator | 309 N. Woodlawn Ave, Bloomington, IN 47408 | 2020-10-06 |
| 1265915904 | Meghan Elizabeth Kinkead | Specialist/Technologist | Simon Skjodt Assembly Hall, 1001 East 17th Street, Bloomington, IN 47408 | 2018-09-10 |
| 1316499395 | Marabai Rose Counseling, LLC | Social Worker | 4568 East State Rd 45, Bloomington, IN 47408 | 2016-10-26 |
| 1295133908 | Eden Embree | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Bloomington, IN 47408 | 2014-12-11 |
| 1588995229 | Create-a-smile PC | Dentist | 219 E. 17th St., Bloomington, IN 47408 | 2010-01-20 |
| 1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
| 1770709917 | Robin A. Roberts | Dentist | 104 E. 19th Street, Bloomington, IN 47408 | 2007-04-17 |
| 1114013752 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2727 N Dunn, Bloomington, IN 47408 | 2006-10-04 |
| 1003850322 | Priti V Jindal | Internal Medicine | 2455 N Tamarack Trl, Bloomington, IN 47408 | 2006-06-16 |
| 1306830849 | John William Schrader | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Sports Medicine Department, Bloomington, IN 47408 | 2005-09-09 |
| Find all providers in zip 47408 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
| 1437372067 | Michael Francis Kenrick | General Practice | 1421 Cedar Bluff Road, Bloomington, IN 47403-9687 | 2007-04-11 |
| 1083747992 | James M Sullivan | General Practice | 1000 W 1st St, Bloomington, IN 47403-2208 | 2007-03-13 |
| 1083652556 | Wound Care Center, LLC | General Practice | 2920 Mcintyre Dr, Suite 103, Bloomington, IN 47403-4221 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235188 | Bonzer Medical, LLC | General Practice | 4423 S County Road 125 E, Greencastle, IN 46135-9237 | 2020-04-29 |
| 1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47408 |
Please comment or provide details below to improve the information on DR. DAVID RUDOLF FLETCHER.
| 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.