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Deactivated NPI 1801844063 Deactivated / Inactive NPI Male Practitioner

Dr. John Roberts Bandy , MD

Specialist • Bloomington, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Bandy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 04, 2006
NPI Deactivation Date July 22, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. John Bandy, MD was a registered Specialist practicing in Bloomington, IL. Throughout an active medical career spanning 16 years, Dr. Bandy provided care at the practice location at 306 SAINT JOSEPH DR until profile deactivation on 2022-07-22.

Practice Location & Contact Primary Location

Practice Address

306 Saint Joseph Dr

Bloomington, IL 617013506

Telephone 3096632354
Fax 3096628602
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
19 Specialists

Practicing in Bloomington, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 036060449

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1043315021

Doctor of Medicine (M.D.)

NPI 1316905805

Doctor of Medicine (M.D.)

NPI 1578511390

Doctor of Medicine (M.D.)

Barry Weaver

Specialist

NPI 1609824242
NPI 1629026398

Doctor of Osteopathic Medicine (D.O.)

Brian Moshier

Pediatrics

NPI 1699860452

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 22, 2022

Record deactivated on July 22, 2022

NPI Profile Active July 29, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 29, 2013

Registered at 306 SAINT JOSEPH DR, BLOOMINGTON, IL 617013506 (Tel: 3096632354)

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Updated Business Mailing Address July 29, 2013

Registered at 306 SAINT JOSEPH DR, BLOOMINGTON, IL 617013506 (Tel: 3096632354)

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Provider Name / Credentials Updated July 29, 2013

Recorded as JOHN BANDY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2013

Specialist (License #036060449 in IL)

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Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801844063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: July 29, 2013
Deactivation Date: July 22, 2022

Mailing Address

306 Saint Joseph Dr

Bloomington, IL 617013506

Phone: 3096632354

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.