BRENT EDWARD MEZGER (NPI# 1245744598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245744598 |
| Entity Type | Individual |
| Full Name | BRENT EDWARD MEZGER |
| Credential | FNP-C |
| Practice Address |
1175 S College Mall Rd Bloomington IN 47401-6177 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 8123234301 |
| Mailing Telephone | 9373698865 |
| Enumeration Date | 2017-11-23 |
| Last Update Date | 2017-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.021975 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1175 S COLLEGE MALL RD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-6177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215000831 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1175 S College Mall Rd, Bloomington, IN 47401-6177 | 2006-11-15 |
| 1942800404 | Taylor Deters | Pharmacist | 1175 S College Mall Rd, Bloomington, IN 47401-6177 | 2020-10-26 |
| 1437795556 | Emily Brenneman | Pharmacist | 1175 S College Mall Rd, Bloomington, IN 47401-6290 | 2019-11-24 |
| 1508402116 | Kevin Joe Cook | Pharmacist | 1175 S College Mall Rd, Bloomington, IN 47401-6290 | 2019-11-19 |
| 1982255758 | Amber Nicole Morrow | Nurse Practitioner | 1175 S College Mall Rd, Bloomington, IN 47401-6177 | 2019-09-24 |
| 1356808992 | Heidi Rohe | Pharmacist | 1175 S College Mall Rd, Bloomington, IN 47401-6177 | 2019-03-01 |
| 1952848178 | Melissa Dawn Heffner | Nurse Practitioner | 1175 S College Mall Rd, Bloomington, IN 47401-6177 | 2017-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1609343128 | Katy Jo Northcutt | Nurse Practitioner | 1130 S Veterans Parkway, Bloomington, IL 61704-7117 | 2018-11-02 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1720532005 | Antonia Jacqueline Abrahamsen | Nurse Practitioner | 2009 E Oakland Ave, Bloomington, IL 61701-5756 | 2016-08-04 |
| 1700229028 | Steve Mandieka | Nurse Practitioner | 10800 Lyndale Ave S Ste 114, Bloomington, MN 55420-2611 | 2013-04-17 |
| 1144538380 | Julie Ann Whelan | Nurse Practitioner | 8642 Wood Cliff Cir S, Bloomington, MN 55438-1514 | 2010-09-22 |
| 1386877413 | Carrie Hines | Nurse Practitioner | 4444 W State Road 46, Bloomington, IN 47404-9691 | 2009-08-24 |
| 1962634154 | Mark Stock | Nurse Practitioner | 9401 James Ave S Ste 162, Bloomington, MN 55431-2549 | 2009-08-20 |
| 1104911791 | Carla Mcgee | Nurse Practitioner | 600 North Jordan Avenue, Bloomington, IN 47405-3191 | 2006-10-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on BRENT EDWARD MEZGER.
| 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.