Individual provider Active NPI

Arthur Bert Blackburn, M.D.

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1619956455
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G4832 Issued in TX
Practice address
1733 Curie Dr
Ste 300
El Paso, TX 79902-2910
Phone
(915) 532-3906
Fax
(915) 532-1330
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G4832 TX Primary

Addresses

Primary practice location

1733 Curie Dr
Ste 300
El Paso, TX 79902-2910

Mailing address

1733 Curie Dr
Ste 300
El Paso, TX 79902-2910
Phone (915) 532-3906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20120416000308 TX Practitioner - Obstetrics/Gynecology 0345344958 Practice locations: El Paso, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G4832TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Specialty Network Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1619956455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 CURIE DR",
            "address_2": "STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022910",
            "telephone_number": "915-532-3906",
            "fax_number": "915-532-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 CURIE DR",
            "address_2": "STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022910",
            "telephone_number": "915-532-3906",
            "fax_number": "915-532-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "ARTHUR",
        "middle_name": "BERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G4832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.