Active NPI
David Duane Blomquist, MS, LLP
- Social Worker
- Bridgeport, MI
National Provider Identifier
1114056785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6301011480
- Practice address
- 6379 Dixie Hwy
Bridgeport, MI 48722-9566 - Phone
- (989) 777-4357
- Fax
- (989) 777-7257
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6301011480 | MI | Primary |
Addresses
Primary practice location
6379 Dixie Hwy
Bridgeport, MI 48722-9566
Mailing address
4512 N Saginaw Rd
Apt 434
Midland, MI 48640-2369
Phone (989) 400-1321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011480 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114056785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 N SAGINAW RD",
"address_2": "APT 434",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402369",
"telephone_number": "989-400-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6379 DIXIE HWY",
"city": "BRIDGEPORT",
"state": "MI",
"postal_code": "487229566",
"telephone_number": "989-777-4357",
"fax_number": "989-777-7257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOMQUIST",
"first_name": "DAVID",
"middle_name": "DUANE",
"name_prefix": "Mr.",
"credential": "MS, LLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6301011480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, MI
- Melinda Eve Bierlein, PT
- Audrea Leigh Billingslea
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- Lila Bjaland, BGS, CADC
- Blauvelt Dialysis LLC (Colmare Dialysis)
- Carrie Bluemer
- Madelyn Renee Bochenek
- Boettcher Home Medical Supply, LLC
- Jill Marie Bolger
- Michiela Boone, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.