Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Otto William Wickstrom III, M.D.

Orthopaedic Hand Surgery Physician in Bloomington, IN · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487826939

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Otto William Wickstrom III

Credential M.D.

Sex Male

Practice address 583 S Clarizz Blvd, Bloomington, IN, 47401

Phone (812) 333-2663

Fax (812) 349-9206

Enumeration date Mar 25, 2008

Last updated in NPPES Apr 29, 2021

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License MD61074238 (WA) Secondary

207XS0106X Orthopaedic Hand Surgery Physician Allopathic & Osteopathic Physicians · License MD61074238 (WA) Primary

174400000X Specialist Other Service Providers · License 01065381A (IN) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
200931500	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Otto Wickstrom practice?

The practice location on file with NPPES is in Bloomington, IN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Otto Wickstrom?

The National Provider Identifier (NPI) for Otto Wickstrom is 1487826939, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-29.