Individual
BRADFORD J BOMBA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3409
(812) 331-3656
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3409
(812) 331-3656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01037706A
IN
208M00000X
Hospitalist Physician
10137706A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184700
—
IN
Enumeration date
06/17/2005
Last updated
12/02/2020
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