Carl Blegen, M. D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

22333 Issued in MN

Practice address

5035 50TH St SE
Delano, MN 55328-8110

Phone

(612) 839-9252

Fax

(763) 972-9059

NPI assigned

Feb 9, 2009

Last updated

Feb 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1093954422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 50TH ST SE",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553288110",
            "telephone_number": "612-839-9252",
            "fax_number": "763-972-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 50TH ST SE",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553288110",
            "telephone_number": "612-839-9252",
            "fax_number": "763-972-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEGEN",
        "first_name": "CARL",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "22333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Delano, MN
• Providers in Delano, MN by specialty
• Emergency Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.