# BLOOMINGTON SLEEP SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356532113
- **Authorized official:** DR. LAWRENCE C MCBRIDE M.D. (PRACTICE MANAGER)
- **Authorized official phone:** (812) 332-7337

## Contact information

- **Practice address:** 2920 MCINTYRE DR, SUITE 350, BLOOMINGTON, IN 47403-4221
- **Practice address phone:** (812) 332-7337
- **Practice address fax:** (812) 339-2934
- **Mailing address:** 2920 MCINTYRE DR, SUITE 350, BLOOMINGTON, IN 47403-4221
- **Mailing address phone:** (812) 332-7337
- **Mailing address fax:** (812) 339-2934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | NULL | Yes |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | — | Yes |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | — | — |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 08/07/2007