Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gibson Community Hospital Association

Organization Pain Medicine (Anesthesiology) Physician · NPI 1457616229

Gibson Community Hospital Association provides Pain Medicine (Anesthesiology) Physician services in Bloomington, Illinois. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1015 S Mercer Ave
Bloomington, IL 61701-7107
Phone: (217) 784-4251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1457616229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Ertel — Cfo · (217) 784-2601
Other names Gibson Area Hospital Pain Clinic
NPI enumeratedJuly 9, 2012
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing address1120 N Melvin St, Gibson City, IL 60936-1477

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