DR. BRANDEN SHANE BLUME (NPI# 1861007841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861007841 |
| Entity Type | Individual |
| Full Name | DR. BRANDEN SHANE BLUME |
| Credential | PT, DPT |
| Practice Address |
5300 S Southern Hills Ct # 200 Rogers AR 72758-3500 |
| Mailing Address |
6104 Evergreen Dr Little Rock AR 72207-6312 |
| Practice Telephone | 4796361324 |
| Mailing Telephone | 4798715330 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT4849 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5300 S SOUTHERN HILLS CT # 200 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1053575571 | Evan Richard Hill | Physical Therapist | 1101 Horsebarn Rd, Rogers, AR 72758-8237 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154848133 | Zach Brown | Physical Therapist | 4540 Jfk Blvd, North Little Rock, AR 72116-7309 | 2017-08-29 |
| 1275933772 | Haley Mourot | Physical Therapist | 100 Walmart Dr Ste 5, Morrilton, AR 72110-4525 | 2014-09-03 |
| 1093153173 | Christian Charles Robertozzi | Physical Therapist | 907 Se Village Loop Ste 5, Bentonville, AR 72712-2229 | 2013-06-11 |
| 1023320132 | Rachael Lee Cummins Owens | Physical Therapist | 1065 Clayton St Ste 9, Conway, AR 72032-4335 | 2010-07-06 |
| 1275605727 | Brian Paul Doorley | Physical Therapist | 16140 N Arrowhead Fountain Center Drive, Suite 105, Peoria, AR 85382 | 2006-11-13 |
| 1467554964 | Bryan Nathaniel Grubbs | Physical Therapist | 1200 Old Warren Road, Monticello, AR 71655-3954 | 2006-09-04 |
| 1740243559 | Anna Christine Turner-massanelli | Physical Therapist | 2113 Watts Road, Jordan Physical Therapy, Benton, AR 71901 | 2006-04-11 |
| 1124017058 | Rowdy Kelly | Physical Therapist | 200 N College St, Mountain Home, AR 72653-3654 | 2005-10-13 |
| 1750865044 | Ruth Ross | Physical Therapist | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2018-09-21 |
| 1497238851 | Montana Chapman | Physical Therapist | 10014 N Rodney Parham Rd Ste 103, Little Rock, AR 72227-5598 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
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| 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.