Bloomington Ent PC
Bloomington Ent PC is a healthcare organization registered as Otolaryngology Physician in Bloomington, IN, holding Type 2 (organization) NPI 1306816665 since 2006. The authorized official on file is Jesse Phillips, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1306816665 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bloomington Ent PC |
| Practice address | 1791 W 3RD ST, Bloomington, IN, 47404 |
| Phone | 8123351300 |
| Fax | 8123350300 |
| Enumeration date | 2006-01-26 |
| Last updated in NPPES | 2008-04-15 |
Authorized official
| Name | Jesse Phillips |
|---|---|
| Title | Owner |
| Phone | 8123351300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology Physician | Primary | 01040385A | IN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5818093 | Other | IN | AETNA |
| 2440326 | Other | IA | CIGNA |
| 000000209641 | Other | IN | ANTHEM BCBS |
| 546541P | Other | IN | SIHO |
Copy-ready billing details
Provider: Bloomington Ent PC NPI: 1306816665 Taxonomy: 207Y00000X (Otolaryngology Physician) Address: 1791 W 3RD ST, Bloomington, IN, 47404
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902804685 | Kevin Powers | Individual | Podiatrist | Bloomington, IN |
| 1609947571 | Kevin J Powers | Organization | Podiatrist | Bloomington, IN |
| 1922235340 | David Northcutt | Individual | Foot & Ankle Surgery Podiatrist | Bloomington, IN |
Verify this record
Cross-check NPI 1306816665 against the authoritative CMS record: view Bloomington Ent PC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Bloomington Ent PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-04-15.