375th Medgrp-Scott
375th Medgrp-Scott is a healthcare organization registered as Military Hospital in Scott Afb, IL, holding Type 2 (organization) NPI 1861478448 since 2005. The authorized official on file is Bruce Gardner, Resident Physician.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1861478448 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 375th Medgrp-Scott |
| Parent organization | 375th Medgrp-Scott |
| Practice address | 310 W LOSEY ST, Scott Afb, IL, 62225 |
| Phone | 6182566267 |
| Fax | 6182567931 |
| Enumeration date | 2005-12-15 |
| Last updated in NPPES | 2025-05-29 |
Authorized official
| Name | Bruce Gardner |
|---|---|
| Title | Resident Physician |
| Phone | 6182566267 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 286500000X | Military Hospital | Primary | — | — |
Copy-ready billing details
Provider: 375th Medgrp-Scott NPI: 1861478448 Taxonomy: 286500000X (Military Hospital) Address: 310 W LOSEY ST, Scott Afb, IL, 62225
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245224567 | John Weatherwax | Individual | Pediatric Nurse Practitioner | Scott Afb, IL |
| 1093709800 | Darlene Brunner | Individual | Women's Health Nurse Practitioner | Scott Afb, IL |
| 1861487209 | Robert Gamble | Individual | General Practice Dentistry | Scott Afb, IL |
| 1144215989 | Robert Cates | Individual | Specialist | Scott Afb, IL |
| 1861487522 | Helen Horn | Individual | Women's Health Nurse Practitioner | Scott Afb, IL |
| 1366437089 | Lora Graves | Individual | General Practice Dentistry | Scott Afb, IL |
| 1477548014 | Brent Mcclenny | Individual | General Practice Dentistry | Scott Air Force Base, IL |
| 1881689438 | Richard Simmons | Individual | Physical Therapist | Scott Air Force Base, IL |
Verify this record
Cross-check NPI 1861478448 against the authoritative CMS record: view 375th Medgrp-Scott 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
What is a Type 2 NPI?
What type of organization is 375th Medgrp-Scott?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-29.