Philip Clark Brittain
Gynecologist
642 S Walker St
Bloomington
, Indiana 47403-2158
Philip Clark Brittain
Gynecologist
642 S Walker St
Bloomington
, Indiana 47403-2158
(812) 336-0277
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Philip Clark Brittain
- 642 S Walker St
- Bloomington, IN
- Zip : 47403-2158
- Fax : (812) 336-0277
- Phone : (812) 331-9160
Second Address
- Philip Clark Brittain
- 642 S Walker St
- Bloomington, IN
- Zip : 47403-2158
- Fax : (812) 336-0277
- Phone : (812) 331-9160
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 02001508 | IN |
National Provider Identifier
| NPI | 1073508040 |
|---|---|
| Provider Name | Philip Clark Brittain |
| First Address | Bloomington, IN 47403-2158 |
| Second Address | Bloomington, IN 47403-2158 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2005 |
| Last Update Date | 02/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200016270 | (05) | IN |
| D24093 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.