Brianna Leigh Blum, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26957 Issued in FL

Practice address

14006 Beach Blvd
Jacksonville, FL 32250-1597

Phone

(904) 301-4250

NPI assigned

Jun 8, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1770212334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 BONAPARTE LANDING CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186745",
            "telephone_number": "772-473-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14006 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501597",
            "telephone_number": "904-301-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "BRIANNA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Sky Dental Group, LLC
• Felicia Arielle Blue, CDA,CNA
• Bluebird Specialty Pharmacy LLC (Vital Care of Jacksonville)
• Michael Kenneth Bluett, M.D.
• Blum Health LLC (Generation Chiropractic)
• Chelsea Blum, NP
• Nathalie Blum, D.C.
• Clifford Blumenberg, M.D.
• Daniel Mark Blumenthal, MD, MBA
• Kimberly G Blumenthal, M.D.

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.