Active NPI
Bradley Kevin Bloemker, M.D., PH.D.
- Obstetrics & Gynecology Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 86270
- Practice address
- 347 Smith Ave N Ste 203
Saint Paul, MN 55102-2388 - Phone
- (651) 241-7733
- Fax
- (651) 241-7798
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 32
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.
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Creighton University School of Medicine, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MN, KS, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 4
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050729000191 | MO | Practitioner - Obstetrics/Gynecology | 8921036138 | Reassigns benefits to 3 organizations |
| I20140618001796 | MN | Practitioner - Obstetrics/Gynecology | 8921036138 | Reassigns benefits to 6 organizations |
| I20250113002862 | KS | Practitioner - Obstetrics/Gynecology | 8921036138 | Reassigns benefits to 1 organization |
| I20251203000062 | WI | Practitioner - Obstetrics/Gynecology | 8921036138 | Reassigns benefits to 9 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86270 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network North | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Saint Luke'S Physician Group Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Mercy Clinic Pittsburg LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Ascension Via Christi Hospital Pittsburg, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| Mercy Hospital Springfield | Past | Accepting new patients |
Locations
2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044
1300 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 230-0044
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200
347 Smith Ave N
Ste 203
Saint Paul, MN 55102
Phone (651) 241-7733
1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747
100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- bradley.bloemker@avera.sdhealthlink.net
- https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 86270 | WI | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 58300 | MN | |
| Obstetrics & Gynecology Physician | 207V00000X | 2005019928 | MO |
Addresses
NPPES NPI RegistryPrimary practice location
347 Smith Ave N Ste 203
Saint Paul, MN 55102-2388
Mailing address
PO Box 43
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Other practice location 1
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9007
Other practice location 2
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2025.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1295722387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554400043",
"telephone_number": "612-262-1166",
"fax_number": "612-262-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 SMITH AVE N STE 203",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022388",
"telephone_number": "651-241-7733",
"fax_number": "651-241-7798"
}
],
"practiceLocations": [
{
"address_1": "300 S Bruce St",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "MN",
"postal_code": "562581934",
"country_code": "US",
"telephone_number": "507-537-9007",
"fax_number": "507-537-2730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Oak Ave",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "544495703",
"country_code": "US",
"telephone_number": "715-387-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOEMKER",
"first_name": "BRADLEY",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "86270",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "58300",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2005019928",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.