| Bradford J Bomba Jr, MD | |
|
550 S Landmark Ave, Bloomington, IN 47403-3239 | |
| (812) 331-3409 | |
| (812) 331-3656 |
| Full Name | Bradford J Bomba Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 550 S Landmark Ave, Bloomington, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265437057 | NPI | - | NPPES |
| 100184700 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 10137706A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 01037706A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Bloomington, IN | Home health agency |
| Indiana University Health Home Care | Indianapolis, IN | Home health agency |
| Indiana University Health Hospice | Indianapolis, IN | Hospice |
| Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
| Indiana University Health Bedford Hospital | Bedford, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 461 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | Sound Physicians Of Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
| Entity Name | Hospitalist Medicine Physicians Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720416555 PECOS PAC ID: 7719119965 Enrollment ID: O20140422001842 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford J Bomba Jr, MD 550 S Landmark Ave, Bloomington, IN 47403-3239 Ph: (812) 331-3409 | Bradford J Bomba Jr, MD 550 S Landmark Ave, Bloomington, IN 47403-3239 Ph: (812) 331-3409 |
Wai Pok Vernon Chan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-676-4102 Fax: 812-676-4106 | |
Richard J Eisenhut, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 482 S Liberty Dr, Bloomington, IN 47403 Phone: 812-353-3443 | |
Dr. Kevin Edward Zawacki, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1312 W. Arch Haven Avenue, Bloomington, IN 47403 Phone: 812-676-4144 Fax: 812-339-8344 | |
Dr. Samuel W Kimani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-331-3400 Fax: 812-332-7265 | |
Shelby Renee Tipton, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-676-4106 Fax: 812-676-4102 | |
Ms. Louise Anne Owens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 S Madison St, Bloomington, IN 47403 Phone: 812-334-3303 Fax: 812-334-0842 | |
Eric A Bannec, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3255 Fax: 812-333-5978 |