Norman Bruce Blaum, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4072 Issued in AL

Practice address

8076 Spring Run Dr
Fairhope, AL 36532-3854

Phone

(251) 232-1083

Fax

(866) 291-0167

NPI assigned

Sep 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGHDAA

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.

• N Bruce Blaum DMD Magd LLC

  • Dentist
  • Fairhope, AL
  • NPI 1316217649
  NPD Authorized official
• Fairhope Family Medicine, LLC

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1821151093
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1215922992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8076 SPRING RUN DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323854",
            "telephone_number": "251-232-1083",
            "fax_number": "866-291-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8076 SPRING RUN DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323854",
            "telephone_number": "251-232-1083",
            "fax_number": "866-291-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUM",
        "first_name": "NORMAN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "WEB1BLAU",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "WEB1BLAU",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METLIFE",
            "identifier": "WEB1BLAU",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy E. Beshel, PT
• Mary Austin Billups, RN
• William C Bingham, MD
• Bio-Medical Applications of Alabama, Inc.
• Bio-Medical Applications of Alabama, Inc.
• Blue Ridge Healthcare Montrose Bay LLC
• Matthew D Blum, MD
• Sarah M Bogdanovich
• Erica Breanne Bortmas-Shammaa, MD
• Lauren Emily Bowling, PT, DPT

• Dentist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.