Individual provider Active NPI

Brian Blumhof, M.D.

  • Diagnostic Radiology Physician
  • Bryn Mawr, PA
National Provider Identifier
1134576580
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MT212895 Issued in PA
Practice address
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone
(484) 337-4123
NPI assigned
May 16, 2016
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT212895 PA Primary

Addresses

Primary practice location

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121

Mailing address

PO Box 678678
Dallas, TX 75267-8678
Phone (215) 955-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516001767 PA Practitioner - Diagnostic Radiology 3274801691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Health Imaging LPGroup PAC ID 7618867664, 51 clinicians
Radiology Associates of the Main Line P CGroup PAC ID 9931097193, 80 clinicians

Practice addresses (Care Compare)

101 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3120
Phone (610) 526-8390

154 Exton Square Pkwy
Exton, PA 19341-2440
Phone (610) 280-6103

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 565-8068

3855 W Chester Pike
Suite 170
Newtown Square, PA 19073-2304
Phone (484) 337-6130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Health Imaging LP Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Main Line Health Imaging LP Past Accepting new patients
Main Line Healthcare PastSince Jul 31, 2010 Accepting new patients

Locations

1991 Sproul Rd
Broomall, PA 19008
Phone (484) 476-3700

101 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 526-2200

101 S Bryn Mawr Ave
Ste 130
Bryn Mawr, PA 19010

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

599 Arcola Rd
Collegeville, PA 19426
Phone (484) 565-8440

154 Exton Square Mall
Exton, PA 19341
Phone (484) 565-8500

1020 Baltimore Pike
Glen Mills, PA 19342
Phone (484) 227-7777

120 Valley Green Ln
Kng of Prussa, PA 19406
Phone (610) 526-3000

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

3855 West Chester Pike
Newtown Square, PA 19073
Phone (484) 337-6000

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

255 W Lancaster Ave
Ste 131
Paoli, PA 19301
Phone (610) 560-8060

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

306 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 476-7222

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1134576580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678678",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678678",
            "telephone_number": "215-955-6226",
            "fax_number": "215-923-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "484-337-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMHOF",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT212895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.