Fredrick Bruce Blaisdell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

77871 Issued in MN

Practice address

1542 Golf Course Rd Ste 203
Grand Rapids, MN 55744-3557

Phone

(218) 322-4900

NPI assigned

Apr 14, 2023

Last updated

Jun 24, 2026By 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

Enrolled in MN

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

Specialty

Family Practice

Education

University of Minnesota Medical School

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Northwest Family Physicians PA

  dba Northwest Family Clinics

  • Family Medicine Physician
  • Crystal, MN
  • NPI 1548366867
  Medicare reassignment NPD

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1437845187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 GOLF COURSE RD STE 203",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443557",
            "telephone_number": "218-322-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 GOLF COURSE RD STE 203",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443557",
            "telephone_number": "218-322-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAISDELL",
        "first_name": "FREDRICK",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-14",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "77871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Minnesota, Inc. (FMC Dialysis Services Grand Rapids)
• Birchtree Health PLLC
• Marit Bjordal, PHARMD
• Renada Bjordal, SLP
• Andrew Morris Blair
• Katrina Marie Boden, CNP
• Bonham Psychotherapy Services
• Bonner Eye Clinic Optical LLC
• Timothy Charles Bonner, M.D.
• Borealis Health PLLC

• Family Medicine Physician in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.