Brian Eric Blough, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009617 Issued in IN

Practice address

3440 E State Road 32 Ste A2
Westfield, IN 46074-8769

Phone

(317) 785-2020

NPI assigned

Jul 30, 2006

Last updated

Jan 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1366457145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E STATE ROAD 32 STE A2",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748769",
            "telephone_number": "317-785-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 E STATE ROAD 32 STE A2",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748769",
            "telephone_number": "317-785-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUGH",
        "first_name": "BRIAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bierman ABA Inc.
• Bierman Behavioral Health Services, LLC (Bierman Health Services)
• Sydney Black
• Hailey Lynn Blankenship
• Elyssa Blessing
• Emily Grace Blough, LCSW
• Andrea Bognar, PT
• Matthew E Bohm, DO
• Monisola I Bolarin, BSN
• Sunday D Bolarin, PT, MBA, MPM

• General Practice Dentistry in Westfield, IN
• Providers in Westfield, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.