Gershwin Theophilus Blyden, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0048415 Issued in FL

Practice address

8335 NE 2ND Ave
Miami, FL 33138-3810

Phone

(305) 757-0113

Fax

(305) 756-7485

NPI assigned

May 18, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Internal MedicineAlso: Hematology/Oncology

Education

Yale University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Foundation for Sickle Cell Disease ResearchGroup PAC ID 5698091288, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFEDDD

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.

• Foundation for Sickle Cell Disease Research

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1053720243
  Medicare reassignment Care Compare group NPD
• Gershwin T Blyden MD PA

  • Hematology & Oncology Physician
  • Miami, FL
  • NPI 1497065882
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1851344014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383810",
            "telephone_number": "305-757-0113",
            "fax_number": "305-756-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383810",
            "telephone_number": "305-757-0113",
            "fax_number": "305-756-7485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1394 62nd street",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33147",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1685 S STATE ROAD 7",
            "address_2": "Unit 4",
            "address_purpose": "LOCATION",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33023",
            "country_code": "US",
            "telephone_number": "954-397-3251",
            "fax_number": "954-374-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLYDEN",
        "first_name": "GERSHWIN",
        "middle_name": "THEOPHILUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0048415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044049300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sccrnetwork@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "1685 S STATE ROAD 7",
            "address_2": "Unit 4",
            "city": "HOLLYWOOD",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mallory Blum, RBT
• Richard Anthony Blumengold, MD
• Shoshana Blumenthal, MD
• Michelle Dawn Blumstein, MD
• Blureign Health Inc
• Blyss Psychiatry, LLC
• BM Medical Solutions LLC
• BM&Professional Associate,Inc
• Bma Assisted Living Facility, Corp.
• Bma Cutler Ridge

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.