Individual provider Active NPI

Laura Murphy Bleekrode, MD

  • Pediatrics Physician
  • Roswell, GA
National Provider Identifier
1407927809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
034514 Issued in GA
Practice address
11660 Alpharetta Hwy
Ste 290
Roswell, GA 30076-4943
Phone
(770) 664-4430
Fax
(770) 664-7836
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 034514 GA Primary

Addresses

Primary practice location

11660 Alpharetta Hwy
Ste 290
Roswell, GA 30076-4943

Mailing address

11660 Alpharetta Hwy
Suite 290
Roswell, GA 30076-4943
Phone (770) 664-4430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034514GAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: lbleekrode2272@choa.gadirect.net

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407927809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY",
            "address_2": "SUITE 290",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764943",
            "telephone_number": "770-664-4430",
            "fax_number": "770-664-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY",
            "address_2": "STE 290",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764943",
            "telephone_number": "770-664-4430",
            "fax_number": "770-664-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEEKRODE",
        "first_name": "LAURA",
        "middle_name": "MURPHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "034514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.