Individual provider Active NPI

David B Blomstrom Jr., M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1497929236
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1051 Issued in TX
Practice address
6715 Beauford Dr
Austin, TX 78750-8122
Phone
(512) 954-0111
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X P1051 TX
Student in an Organized Health Care Education/Training Program 390200000X P1051 TX
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X P1051 TX Primary

Addresses

Primary practice location

6715 Beauford Dr
Austin, TX 78750-8122

Mailing address

6715 Beauford Dr
Austin, TX 78750-8122
Phone (512) 954-0111

Other practice location 1

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264

Other identifiers 1

IdentifierTypeStateIssuer
291868201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120117000759 TX Practitioner - Family Practice 4587831474 Reassigns benefits to 11 organizations
I20170829001069 GA Practitioner - HospitalistPractitioner - Family Practice 4587831474 Reassigns benefits to 1 organization
I20200806003393 TN Practitioner - Family Practice 4587831474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 575-8110

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Methodist Hospital Atascosa Hospital, Jourdanton, TX, CCN 450165
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Methodist Hospital Northeast Inpatient rehabilitation facility, Live Oak, TX, CCN 45T388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Feb 15, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Aug 8, 2016 Accepting new patients
MCH Professional Care Hospital Based Family Medicine CurrentSince Jun 12, 2017 Accepting new patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Aug 1, 2021 Accepting new patients
Curana Health Medical Group LLC CurrentSince Mar 10, 2015 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Aug 12, 2019 Accepting new patients
Austin Critical Care Specialists PA Current Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Feb 15, 2023 Accepting new patients
HCC of Laredo LLC CurrentSince Dec 26, 2019 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Lonestar Hospital Medicine Associates, PA Hospitalist CurrentSince Jun 1, 2015 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Hospitalist CurrentSince Oct 28, 2020 Accepting new patients
West Tennessee Healthcare Hospitalists Inc Hospitalist CurrentSince Jul 1, 2020 Accepting new patients
Austin Critical Care Specialists PA CurrentSince Sep 1, 2017 Accepting new patients
Southwest Medical Associates, Inc. CurrentSince Nov 14, 2016 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients

Locations (25 of 40)

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

100 E Alton Gloor Blvd
#A
Brownsville, TX 78526
Phone (956) 350-7000

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Interoperability endpoints

  • Direct secure messaging: dblomstrom13426@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1497929236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 BEAUFORD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508122",
            "telephone_number": "512-954-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 BEAUFORD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508122",
            "telephone_number": "512-954-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOMSTROM",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P1051",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "P1051",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291868201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.