BRIAN BLINDT (NPI# 1730422825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730422825 |
| Entity Type | Individual |
| Full Name | BRIAN BLINDT |
| Credential | PA |
| Practice Address |
2418 Brewery Rd Cross Plains WI 53528-9470 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6087983344 |
| Practice Fax Number | 6088330999 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2014-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3144-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2418 BREWERY RD |
| City | CROSS PLAINS |
| State | WI |
| Zip Code | 53528-9470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871561936 | Amy R Grelle | Family Medicine | 2418 Brewery Rd, Cross Plains, WI 53528 | 2006-03-14 |
| 1306490123 | Katelyn Erickson | Nurse Practitioner | 2418 Brewery Rd, Cross Plains, WI 53528-9470 | 2019-07-30 |
| 1174583363 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2418 Brewery Rd, Cross Plains, WI 53528-9470 | 2006-03-23 |
| 1952379034 | Pamela A Olson | Family Medicine | 2418 Brewery Rd, Cross Plains, WI 53528 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932366523 | Kay Marie Bille | Speech-Language Pathologist | N 3150 Hwy 81, Pleasant View Nursing Home, Cross Plains, WI 53528 | 2008-05-21 |
| 1306011655 | Mary Beth Johnson | Occupational Therapist | 7880 Serene Court, Cross Plains, WI 53528 | 2008-04-28 |
| 1003824095 | Theresa E Rudy | Licensed Practical Nurse | 8837 Scheele Road, Cross Plains, WI 53528 | 2006-08-04 |
| 1821063736 | Amy Denise Halanski | Pediatrics | 4328 Deer Run Ct, Cross Plains, WI 53528 | 2006-02-22 |
| 1487622973 | Allen D Wilson | Pediatrics | 7966 Maurer Rd, Cross Plains, WI 53528-8801 | 2006-03-09 |
| 1477603371 | Jessica Ann Cooney | Physical Therapist | 1132 Gils Way, Cross Plains, WI 53528-8833 | 2007-01-11 |
| 1407169139 | Kristene Utter | Registered Nurse | 1248 Gils Way, Cross Plains, WI 53528-8834 | 2010-07-22 |
| 1285948869 | Heidi Jean Hargis | Registered Nurse | 1248 Gils Way, Cross Plains, WI 53528-8834 | 2010-08-05 |
| 1780757815 | Dustin Alan Reeson | Chiropractor | 2034 Main St, Suite 4, Cross Plains, WI 53528-8855 | 2006-11-16 |
| 1669607586 | Lori K Hellenbrand | Massage Therapist | 2034 Main St, Suite 3, Cross Plains, WI 53528-8855 | 2009-05-20 |
| Find all providers in zip 53528 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| Find all providers with the same taxonomy | ||||
| City | CROSS PLAINS |
| Zip Code | 53528 |
Please comment or provide details below to improve the information on BRIAN BLINDT.
| 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.