Individual
DR. DAVID W HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 W 2ND ST, BLOOMINGTON, IN 47403-2209
(812) 334-5081
(812) 339-8344
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01058431A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
28056
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000732522
ANTHEM PTAN
IN
01
—
000001016083
ANTHEM PTAN
IN
01
—
000001222577
ANTHEM PTAN
IN
05
—
009911293
—
AL
05
—
200836050
—
IN
01
—
51541799
BCBS
AL
Enumeration date
09/19/2006
Last updated
05/21/2025
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