Individual provider Active NPI

James H Blume Jr., DO

  • Family Medicine Physician
  • Forest Hill, WV
National Provider Identifier
1205872447
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WV1096 Issued in WV
Practice address
WV RT 12
Forest Hill, WV 24935-0153
Phone
(304) 466-1152
Fax
(304) 466-1192
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WV1096 WV Primary

Addresses

Primary practice location

WV RT 12
Forest Hill, WV 24935-0153

Mailing address

PO Box 153
Forest Hill, WV 24935-0153
Phone (304) 466-1152

Other identifiers 4

IdentifierTypeStateIssuer
001721352OtherWVBCBS
4415536OtherAETNA
0041145000MedicaidWV
080032127OtherWVRR MEDICARE

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
WV1096WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Emergency Services, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Epmg of Virginia P C Past Accepting new patients
Covenant Healthcare PLLC PastSince Jul 28, 2015 Accepting new patients
Hospital Care Consultants Region II Inc Past Accepting new patients
Summers Emergency Physicians LLC Past Accepting new patients
Beckley Emergency Physicians LLC Past Accepting new patients
St. Luke's Princeton LLC Past Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients
Bandy B. Mullins, MD, PLLC Past Accepting new patients

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1205872447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "city": "FOREST HILL",
            "state": "WV",
            "postal_code": "249350153",
            "telephone_number": "304-466-1152",
            "fax_number": "304-466-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WV RT 12",
            "city": "FOREST HILL",
            "state": "WV",
            "postal_code": "249350153",
            "telephone_number": "304-466-1152",
            "fax_number": "304-466-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUME",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV1096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001721352",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4415536",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041145000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080032127",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.