BENNETT BLUM, MD INC.


Address: 5150 E Broadway Blvd, #1600, Tucson, AZ 85711-3762
Phone: 5207508868

BENNETT BLUM, MD INC. (NPI# 1265653059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265653059
Entity Type Organization
Organization Name BENNETT BLUM, MD INC.
Practice Address 5150 E Broadway Blvd
#1600
Tucson
AZ 85711-3762
Mailing Address 5425 E Broadway Blvd
Pmb #358
Tucson
AZ 85711-3704
Practice Telephone 5207508868
Mailing Telephone 5207508868
Enumeration Date 2007-05-01
Last Update Date 2020-08-22
Authorized Official Name DR. BENNETT BLUM (PRESIDENT)
Authorized Official Telephone 5207508868
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
27112 AZ Allopathic & Osteopathic Physicians
X 2084F0202X Psychiatry & Neurology
Specialization: Forensic Psychiatry
27112 AZ Allopathic & Osteopathic Physicians
X 2084F0202X Psychiatry & Neurology
Specialization: Forensic Psychiatry
G72139 CA Allopathic & Osteopathic Physicians
X 2084H0002X Psychiatry & Neurology
Specialization: Hospice and Palliative Medicine
27112 AZ Allopathic & Osteopathic Physicians
X 2084P0015X Psychiatry & Neurology
Specialization: Psychosomatic Medicine
27112 AZ Allopathic & Osteopathic Physicians
X 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
27112 AZ Allopathic & Osteopathic Physicians
X 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
27112 AZ Allopathic & Osteopathic Physicians
X 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
27112 AZ Allopathic & Osteopathic Physicians
X 2084P2900X Psychiatry & Neurology
Specialization: Pain Medicine
27112 AZ Allopathic & Osteopathic Physicians
X 208D00000X General Practice 27112 AZ Allopathic & Osteopathic Physicians
X 208VP0000X Pain Medicine
Specialization: Pain Medicine
27112 AZ Allopathic & Osteopathic Physicians
X 209800000X Legal Medicine 27112 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 5150 E BROADWAY BLVD
#1600
City TUCSON
State AZ
Zip Code 85711-3762

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 2084A0401X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Medicine

Taxonomy Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982794160 James Donald Mcdaniel Psychiatry & Neurology 1601 E Apache Park Pl, Tucson, AZ 85714-1775 2006-10-16
1063436699 Timothy Ian Mueller Psychiatry & Neurology C/o Savahcs, 3601 S 6th Ave, Tucson, AZ 85723-0001 2006-07-27
1750614467 Matthew Charles Lally Psychiatry & Neurology 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 2009-09-13
1497821698 Healthcare Southwest. Inc Psychiatry & Neurology 2016 S 4th Ave, Tucson, AZ 85713-3509 2006-11-28
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1750471900 Patricia Kane Psychiatry & Neurology 3620 N Mountain Ave, Tucson, AZ 85719-1938 2006-10-16

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NPI Name Taxonomy Address Enumeration
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1639239015 Jaime T Michel Psychiatry & Neurology 3250a E 40th St, Yuma, AZ 85365-7748 2006-12-08
1962584185 Monica Gabriela Faria Psychiatry & Neurology 8541 E Anderson Dr Ste 105, Scottsdale, AZ 85255-5430 2006-10-19
1487635389 Spectrum Healthcare Group, Inc. Psychiatry & Neurology 8 E Cottonwood St, Cottonwood, AZ 86326-4382 2005-11-08
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1073166278 Ascend Telemedicine, LLC Psychiatry & Neurology 312 N Alma School Rd Ste 11, Chandler, AZ 85224-4354 2019-07-17
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Competitor

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City TUCSON
Zip Code 85711

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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