Orthopaedic Surgery
DAVID LICINI MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1801086343 · enumerated 2007-07-31 · record updated 2021-10-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1302 S ROGERS ST, BLOOMINGTON, IN, 47403-4752 (812) 333-2663 Fax (812) 676-4131 Google Maps Apple Maps OpenStreetMap
- Mailing address 250 N SHADELAND AVE, INDIANAPOLIS, IN, 46219-4959 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery 207XS0114X · License 01071339A IN
- Orthopaedic Surgery 207X00000X · Primary · License 01071339A IN
In this directory
Locations and evidence
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Practice location
BLOOMINGTON, IN, 474034752
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.