Brian Blumenauer, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME151057 Issued in FL

Practice address

844 SE Ocean Blvd
Stuart, FL 34994-2473

Phone

(321) 663-0301

NPI assigned

Mar 25, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1184041386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 NE OUTRIGGER LANDINGS DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349576506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942473",
            "telephone_number": "321-663-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENAUER",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME151057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth P Blowers, MD
• Blue Seas Medical LLC
• Kiara Blue
• Bluesky Telepsych LLC
• Kaitlyn Joy Blum, MS CCC-SLP
• Amy Blumstein
• Steffany Shauntrice Blutcher, CNA
• BMST,LLC (Advanced Medical Center of Florida)
• Heriberto Bobadilla, PHD
• Rebecca Grunbaum Bobo, MD

• Plastic and Reconstructive Surgery Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.