Individual
DR. BRITTANY COVIL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
727 W 2ND ST, BLOOMINGTON, IN 47403-2209
(812) 353-3450
(812) 353-3451
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01088880A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540865
MEDICARE PTAN
IN
05
—
300080449
—
IN
Enumeration date
05/22/2019
Last updated
09/08/2023
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