Stephen L Blum, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G7916 Issued in TX

Practice address

3939 W Green Oaks Blvd
Suite 103
Arlington, TX 76016-2784

Phone

(817) 429-8327

Fax

(817) 457-3739

NPI assigned

Aug 4, 2006

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

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

Specialty

Dermatology

Education

Sanford School of Medicine of University of South Dakota, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metroplex Dermatology, PLLCGroup PAC ID 6608911755, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.blum@metroplexderm.emadirect.md

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.

• Metroplex Dermatology, PLLC

  • Clinic/Center
  • Arlington, TX
  • NPI 1508196445
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1659389724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 W GREEN OAKS BLVD",
            "address_2": "SUITE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162784",
            "telephone_number": "817-429-8327",
            "fax_number": "817-457-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W GREEN OAKS BLVD",
            "address_2": "SUITE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162784",
            "telephone_number": "817-429-8327",
            "fax_number": "817-457-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "G7916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Blevins-Herron
• Scarlett Bloodworth, MD, MS
• Bloom Zynora Equipment LLC
• Blossom Agency
• Blue Clouds Health Care, Inc
• Law Boboye, RPH
• Robert Bradley Boccaccio, D.O.
• Bodevolve LLC
• Sarah Bodey
• Emily Anne Bodish, DR

• Dermatology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.