Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Emmett C Willis IV, MD

Emergency Medicine Physician in Bloomington, IN · enumerated 2006.

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

National Provider Identifier

1730281650

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Registry record

Entity type Individual (Type 1)

Name Dr. Emmett C Willis IV

Credential MD

Sex Male

Practice address 601 W 2nd St, Bloomington, IN, 47403

Phone (812) 353-6821

Enumeration date Sep 1, 2006

Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 2007-00783 (NC) Primary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 01057781A (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
01057781A	Other	IN	IN LICENSE
2007-00783	Other	NC	NC LICENSE
01057781B	Other	IN	CSR
200446520	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.

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Frequently asked questions

What specialty is Emmett Willis?

Emmett Willis is registered in NPPES with the primary taxonomy of Emergency Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.