Active NPI
David B Blomstrom Jr., M.D.
- Family Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P1051
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291868201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120117000759 | TX | Practitioner - Family Practice | 4587831474 | Reassigns benefits to 11 organizations |
| I20170829001069 | GA | Practitioner - Hospitalist | 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
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
- Methodist Hospital Stone Oak
- Methodist Hospital Atascosa
- Peterson Regional Medical Center
- Hill Country Memorial Hospital
- Methodist Hospital Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| MCH Professional Care Hospital Based | Family Medicine | Current | Accepting new patients |
| App of Tennessee HM, PLLC | Hospitalist | Current | Accepting new patients |
| Curana Health Medical Group LLC | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Austin Critical Care Specialists PA | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| HCC of Laredo LLC | Current | Accepting new patients | |
| Hospital Medicine Services of TX, PLLC | Hospitalist | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Hospitalist | Current | Accepting new patients |
| Ipc Healthcare Services of Texas, PLLC | Hospitalist | Current | Accepting new patients |
| West Tennessee Healthcare Hospitalists Inc | Hospitalist | Current | Accepting new patients |
| Austin Critical Care Specialists PA | Current | Accepting new patients | |
| Southwest Medical Associates, Inc. | Current | 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
- dblomstrom13426@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
Hospitalist, TX
-
- Critical Care Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1447435805
TX
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Family Medicine, TX
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Family Medicine, TX
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Hospitalist, TX
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Hospitalist, TX
-
- Family Medicine Physician
- Odessa, TX
- NPI 1447547773
Family Medicine, TX
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
GA, Hospitalist
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Hospital
-
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1134166069
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
Hospital
-
- General Acute Care Hospital
- Jourdanton, TX
- NPI 1376071530
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.