Neriel Y. Bernblum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38677 Issued in OH

Practice address

120 W Dudley St
Maumee, OH 43537

Phone

(419) 893-1971

Fax

(419) 893-2321

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maumee Family Physicians Inc

  • Family Medicine Physician
  • Maumee, OH
  • NPI 1578600862
  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790882876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W DUDLEY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-893-1971",
            "fax_number": "419-893-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W DUDLEY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-893-1971",
            "fax_number": "419-893-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNBLUM",
        "first_name": "NERIEL",
        "middle_name": "Y.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "38677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bentley Chiropractic, Inc
• Michael L Bentley, DC
• Katelyn Berger, RBT
• Dean Manuel Bernardo, MD
• Eva H. Bernblum, M.D.
• Shail Bhatnagar, MD
• Jessica Marie Biederman, CDCA
• Lisa Carol Biggs
• Christin Rae Bigley, RN
• Anthony Binder

• Family Medicine Physician in Maumee, OH
• Providers in Maumee, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.