Individual provider Active NPI

Bradley Kevin Bloemker, M.D., PH.D.

  • Obstetrics & Gynecology Physician
  • Saint Paul, MN
National Provider Identifier
1295722387
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
86270 Issued in WI
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.

View all 32

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, WI4 enrollments
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.

Medicare enrollment records 4

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
86270WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network North CurrentSince Oct 11, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 20, 2025 Accepting new patients
Perham Hospital District Current Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 20, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 20, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 5, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 20, 2025 Accepting new patients
Perham Hospital District Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 5, 2024 Accepting new patients
Sanford Health Network North Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 5, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 20, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Nov 20, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 20, 2025 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Jun 1, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Nov 20, 2025 Accepting new patients
Allina Health System CurrentSince Apr 8, 2024 Accepting new patients
Perham Hospital District CurrentSince May 24, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 20, 2025 Accepting new patients
Allina Health System CurrentSince Apr 8, 2024 Accepting new patients
Avera Marshall Current Accepting new patients
Avera Marshall CurrentSince Jun 16, 2014 Accepting new patients
Perham Hospital District CurrentSince May 24, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Sanford Health Network North CurrentSince Oct 11, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 20, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 20, 2025 Accepting new patients
Avera Marshall CurrentSince Jun 16, 2014 Accepting new patients
Mercy Clinic Pittsburg LLC Obstetrics & Gynecology CurrentSince Jan 17, 2025 Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Obstetrics & Gynecology PastSince May 20, 2013 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

  • Direct secure messaging: bradley.bloemker@avera.sdhealthlink.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 86270 WI Primary
Obstetrics & Gynecology Physician 207V00000X 58300 MN
Obstetrics & Gynecology Physician 207V00000X 2005019928 MO

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.