Juergen Bludau, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

76751 Issued in MA

Practice address

1620 Tremont Street
Brigham and Womens Hospital Division of Aging
Boston, MA 02120

Phone

(617) 525-7432

NPI assigned

Apr 25, 2006

Last updated

Jul 5, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Elliot Physicians Network

  • Family Medicine Physician
  • Manchester, NH
  • NPI 1831191659

  Geriatric Medicine

  NPD (past)
• Elliot Professional Services

  • Psychiatry Physician
  • Manchester, NH
  • NPI 1669431466
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1851357198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 TREMONT STREET",
            "address_2": "BRIGHAM AND WOMENS HOSPITAL DIVISION OF AGING",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02120",
            "telephone_number": "617-525-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TREMONT STREET",
            "address_2": "BRIGHAM AND WOMENS HOSPITAL DIVISION OF AGING",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02120",
            "telephone_number": "617-525-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUDAU",
        "first_name": "JUERGEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "76751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle C Blouin, PHARMD
• Latarah Blount, LCSW
• Carrie Lynn Blout, MS, CGC, LGC
• Laura Blowick, LAURA BLOWICK, MSC
• Ryan Nolan Bloxham, LMHC
• Blue Circle Health Clinical Inc
• Blue Circle Health of Massachusetts PC
• Blue Circle Health, Inc.
• Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.
• Blue Gems ABA Ma LLC

• Geriatric Medicine (Internal Medicine) Physician in Boston, MA
• Providers in Boston, MA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.