Robert William Blum, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

D0063300 Issued in MD

Practice address

615 N Wolfe St
Baltimore, MD 21205-2103

Phone

(410) 955-3385

Fax

(410) 955-2303

NPI assigned

Mar 6, 2009

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568603397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CAMBRIDGE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313207",
            "telephone_number": "410-955-3385",
            "fax_number": "410-955-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052103",
            "telephone_number": "410-955-3385",
            "fax_number": "410-955-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0063300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PHYSICIANS",
            "identifier": "D0063300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie S. Blum, LCSW-C, BCD
• Lisa H Blum, PHD
• Lynne Anne Blum, PH.D.
• Michael J Blum, DC
• Myron Barry Blum, M.D.
• Rhona Lynn Bluman
• Michael Harris Blume, M.D.
• Terri L Blume, PA-C
• Jacob Bryan Blumenthal, M.D.
• Roger Scott Blumenthal, M.D.

• Pediatric Adolescent Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Adolescent Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.