Provider Demographics
NPI:1720043110
Name:MCGARY, CHRIS (MD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:MCGARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4366
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47402-4366
Mailing Address - Country:US
Mailing Address - Phone:812-332-8242
Mailing Address - Fax:812-333-7684
Practice Address - Street 1:429 S LANDMARK AVE
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-5003
Practice Address - Country:US
Practice Address - Phone:812-332-8242
Practice Address - Fax:812-333-7684
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01058619A2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00128203OtherRR MEDICARE
INP00114574OtherRAILROAD MEDICARE
IN200492200Medicaid
IN214160MMedicare PIN
B37865Medicare UPIN
IN200492200Medicaid
IN980210GGMedicare PIN