Summit Urology

LBN: Brian J. Logue Md. Pc
Summit Urology is an health care organization with primary practice located at 2907 S. Mcintire Dr , Bloomington IN 47403-4224. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Brian J. Logue Md. Pc can be contacted via phone (812) 332-8765, or through Logue, Brian J via phone (812) 332-8765.

Contact Information

Primary practice address
2907 S. Mcintire Dr Bloomington IN 47403-4224
Phone: (812) 332-8765
Fax: (812) 336-3425
Website:
Map and Directions
Authorized official contact:
Name: Logue, Brian J Doctor of Medicine (MD)
Phone: (812) 332-8765

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1285604199
LBN Legal business name Brian J. Logue Md. Pc
DBA Doing business as Summit Urology
Authorized official Logue, Brian J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 16th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285604199 NPPES
Indiana MEDICAID 200175020A
Indiana Other 000000098138
Indiana Other CD6715

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