N Bruce Blaum DMD Magd LLC

Primary specialty

DentistTaxonomy code 122300000X

License

4072 Issued in AL

Legal business name

N BRUCE BLAUM DMD MAGD LLC

Practice address

8076 Spring Run Dr
Fairhope, AL 36532-3854

Phone

(251) 232-1083

Fax

(866) 291-0167

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Norman B Blaum, DMDNPI 1215922992

Title

Member

Phone

(251) 232-1083

Specialties & licenses 2

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norman Bruce Blaum, DMD

  • Dentist
  • Fairhope, AL
  • NPI 1215922992
  NPD Authorized official
• Regan M Andrade, MD

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1851370266
  NPD (past)
• Lea Trimm Collins, FNP-BC

  • Family Nurse Practitioner
  • Fairhope, AL
  • NPI 1801238795
  NPD (past)

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1316217649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "MONTROSE",
            "state": "AL",
            "postal_code": "365591027",
            "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": {
        "organization_name": "N BRUCE BLAUM DMD MAGD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "BLAUM",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "251-232-1083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "4072",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Elizabeth Mullis, PA-C
• Shannon Munday
• Christopher Murphree, PHD
• Misty James Murphy, RN/MSN
• Lori Ann Myers, M.D.
• Nancy E Beth Boyett Licsw LLC
• Roland Naseman, R.PH.
• Joseph N M Ndolo, M.D.
• Blake D. Neal, M.D.
• Daneve K. Neal, CRNA

• 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.