# PROGRESSIVE UROLOGY, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1417137167
- **Authorized official:** DR. CAREY BERNARD RANSONE M.D. (PRESIDENT)
- **Authorized official phone:** (219) 324-3120

## Contact information

- **Practice address:** 1505 STATE ST, LA PORTE, IN 46350-3115
- **Practice address phone:** (219) 324-3120
- **Practice address fax:** (219) 362-3743
- **Mailing address:** 1505 STATE ST, LA PORTE, IN 46350-3115
- **Mailing address phone:** (219) 324-3120
- **Mailing address fax:** (219) 362-3743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01045023 | IN | Yes |

## Other

- **Enumeration date:** 11/10/2007
- **Last updated:** 11/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200091080 | — | IN |