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Contact Information

BRIAN W COOK, MD
2920 MCINTIRE DRIVE
SUITE 250
BLOOMINGTON, IN47403
 Phone: 812-332-9217
 Fax: 812-330-4474
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for BRIAN W COOK · (Male)

NPI Number 1962688895
Status Active
Credentials MD
Entity Individual
Enumeration date 01/10/2008
Last updated 12/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01064947A
  • IN Medicaid 200897380
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL - (Acute Care)
    601 W SECOND ST
    BLOOMINGTON, IN 47403
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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