Eva H. Bernblum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40287 Issued in OH

Practice address

120 W Dudley St
Maumee, OH 43537

Phone

(419) 893-1971

Fax

(419) 893-2321

NPI assigned

Sep 20, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Maumee Family Physicians Inc

  • Family Medicine Physician
  • Maumee, OH
  • NPI 1578600862
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215034301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W DUDLEY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-893-1971",
            "fax_number": "419-893-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W DUDLEY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-893-1971",
            "fax_number": "419-893-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNBLUM",
        "first_name": "EVA",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "40287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ronald Bennie, DC
• Bentley Chiropractic, Inc
• Michael L Bentley, DC
• Katelyn Berger, RBT
• Dean Manuel Bernardo, MD
• Neriel Y. Bernblum, M.D.
• Shail Bhatnagar, MD
• Jessica Marie Biederman, CDCA
• Lisa Carol Biggs
• Christin Rae Bigley, RN

• Family Medicine Physician in Maumee, OH
• Providers in Maumee, OH by specialty
• Family Medicine Physician in Ohio

• 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.

Verify at the official NPI Registry.