Bradford J Bomba Jr. (NPI# 1265437057, PAC ID# 0143274456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1265437057 |
PAC ID by PECOS | 0143274456 |
Professional Enrollment ID | I20100424000023 |
Full Name | Bradford J Bomba Jr. |
Organization Legal Name | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC |
Address |
995 S Clarizz Blvd Bloomington IN 47401-5588 |
Phone Number | 8123533060 |
Gender | M |
Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1988 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 6204748197 |
Number of Group Practice Members | 232 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150051 | INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL |
151328 | INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL |
150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
151335 | ST VINCENT DUNN HOSPITAL INC |
Address | Phone | Organization |
---|---|---|
550 S Landmark Ave, Bloomington, IN 47403-3239 | 8123356900 | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC |
995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 8123533060 | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC |
Organization Legal Name | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC |
Physicians | 202 |
Name | Specialty | Organization | Address |
---|---|---|---|
Claire Massman | Physician Assistant | Indiana University Health Southern Indiana Physicians, Inc | 707 W 2nd St, Bloomington, IN 47403-2209 |
Stephanie Van Heerden | Podiatry | Indiana University Health Southern Indiana Physicians, Inc | 1375 N Wellness Way, Indiana University Health Southern, Bloomington, IN 47404-9786 |
David Savage | Thoracic Surgery | Indiana University Health Southern Indiana Physicians, Inc | 1312 W Arch Haven Ave A, Indiana University Health Southern, Bloomington, IN 47403-2088 |
Kevin E Zawacki | Interventional Cardiology | Indiana University Health Southern Indiana Physicians, Inc | 1520 S Liberty Dr, Bloomington, IN 47403-5167 |
Karmen A Dayhuff | Nurse Practitioner | Indiana University Health Southern Indiana Physicians, Inc | 9 N Crane Ave, Spencer, IN 47460-1507 |
Jason R Kasza | General Surgery | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Susan G Laughlin | Nurse Practitioner | Indiana University Health Southern Indiana Physicians, Inc | 1302 S Rogers St, Bloomington, IN 47403-4752 |
Charles R Mckeen | General Surgery | Indiana University Health Southern Indiana Physicians, Inc | 421 W 1st St, Bloomington, IN 47403-2403 |
Philip Clark Brittain | Obstetrics/gynecology | Indiana University Health Southern Indiana Physicians, Inc | 642 S Walker St, Bloomington, IN 47403-2158 |
Kristin M Baar | Audiologist | Indiana University Health Southern Indiana Physicians, Inc | 1949 Hospital Dr, Martinsville, IN 46151-1861 |
Street Address |
995 S CLARIZZ BLVD |
City | BLOOMINGTON |
State | IN |
Zip | 47401-5588 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason R Kasza | General Surgery | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Rebekah J Moore | Nurse Practitioner | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Kimberly Anne Nelson | Nurse Practitioner | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Xiaoxia Michelson | Nurse Practitioner | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Ryan J Niehaus | Family Practice | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Amar G Pinto | Gastroenterology | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Eric H Orth | Endocrinology | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Kenneth W Oglesby | Podiatry | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Wesley W Ratliff | Pulmonary Disease | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Jacqueline S Trueblood | Internal Medicine | Indiana University Health Southern Indiana Physicians, Inc | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
John Brian Odonnell | Family Practice | 1920 E 3rd St, Bloomington, IN 47401-3739 | |
Carolyn Geduld | Clinical Social Worker | 2739 E Brigs Bnd, Bloomington, IN 47401-4402 | |
Ellen S Epstein | Clinical Social Worker | 1205 E Maxwell Ln, Bloomington, IN 47401-5073 | |
Jenna M Dale | Optometry | Precision Eye Group PC | 322 S Woodscrest Dr, Bloomington, IN 47401-5314 |
Deborah J Patrick | Family Practice | Indiana University Health Southern Indiana Physicians, Inc | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 |
Brandy L Deckard | Optometry | Precision Eye Group PC | 322 S Woodscrest Dr, Bloomington, IN 47401-5314 |
Derek Joseph Bailey | Optometry | Precision Eye Group PC | 322 S Woodscrest Dr, Bloomington, IN 47401-5314 |
Hayley R Wible | Internal Medicine | Indiana University Health Southern Indiana Physicians, Inc | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 |
Raluca I Vucescu | Internal Medicine | Indiana University Health Southern Indiana Physicians, Inc | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 |
Charles X Mccalla | Family Practice | Indiana University Health Southern Indiana Physicians, Inc | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 |
Find all physicians in zip 47401 |
City | BLOOMINGTON |
Zip Code | 47401 |
Specialty | INTERNAL MEDICINE |
City + Specialty | BLOOMINGTON + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.