Timothy Wayne Blend, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME62136 Issued in FL

Practice address

1911 Manatee Ave E
Suite 102
Bradenton, FL 34208-1557

Phone

(941) 722-5600

Fax

(941) 722-5644

NPI assigned

Aug 2, 2006

Last updated

Feb 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10052/brand/1/csg/1/fhir/r4
• Direct secure messaging: timothy.blend.1@32066.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment NPD
• Blend Institute LLC

  • Specialist
  • Bradenton, FL
  • NPI 1730410010
  Authorized official Same address or phone
• Emergency Physician Specialists Inc

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1912973850
  NPD (past)
• Integrative Medical Group

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1306029301
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1326055435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 MANATEE AVE E",
            "address_2": "SUITE 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081557",
            "telephone_number": "941-722-5600",
            "fax_number": "941-722-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 MANATEE AVE E",
            "address_2": "SUITE 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081557",
            "telephone_number": "941-722-5600",
            "fax_number": "941-722-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEND",
        "first_name": "TIMOTHY",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME62136",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME62136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23974",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251611000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Brian Blank, ATC, LAT
• Jessica Ann Blatzer, PHARMD
• Philip A Blaustein, MD
• Blend Institute LLC
• Kimberly Blend, ARNP
• Carla M Blethen, OTA
• Lori A. Blondell, P.T.
• Bloommind Behavioral Growth LLC
• Kimberly C Bloski
• Blue Angel Health Care Services, Inc

• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.