Organization Active NPI

David C. Blumer, MD

  • Medical Specialty Clinic/Center
  • Gainesville, FL
National Provider Identifier
1780074831
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
30193 Issued in FL
Legal business name
DAVID C. BLUMER, MD
Practice address
720 SW 2ND Ave
Suite 204
Gainesville, FL 32601-6271
Phone
(352) 372-1878
Fax
(352) 372-7562
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Dr. David C Blumer, M.D.NPI 1851398937
Title
Sole Proprietor
Phone
(352) 372-1878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 30193 FL Primary

Addresses

Primary practice location

720 SW 2ND Ave
Suite 204
Gainesville, FL 32601-6271

Mailing address

720 SW 2ND Ave
Suite 204
Gainesville, FL 32601-6271
Phone (352) 372-1878

Other identifiers 1

IdentifierTypeStateIssuer
207N00000XOtherFLTAXONOMY NUMBER

National Provider Directory

National Provider Directory

Locations

720 SW 2nd Ave
Ste 204
Gainesville, FL 32601
Phone (352) 372-1878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1780074831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SW 2ND AVE",
            "address_2": "SUITE 204",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016271",
            "telephone_number": "352-372-1878",
            "fax_number": "352-372-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SW 2ND AVE",
            "address_2": "SUITE 204",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016271",
            "telephone_number": "352-372-1878",
            "fax_number": "352-372-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. BLUMER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "BLUMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "352-372-1878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "30193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY NUMBER",
            "identifier": "207N00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.