Active NPI
Raymond S. Bland, M.D.
- Psychiatry Physician
- Springfield, IL
National Provider Identifier
1881653103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036069778
- Practice address
- 710 N 8TH St
Springfield, IL 62702-6324 - Phone
- (217) 525-1064
- Fax
- (217) 525-1651
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036069778 | IL | Primary |
Addresses
Primary practice location
710 N 8TH St
Springfield, IL 62702-6324
Mailing address
710 N 8TH St
Springfield, IL 62702-6324
Phone (217) 525-1064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069778 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Centers of Central Illinois | Past | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Springfield, IL
- NPI 1750614798
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1881653103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N 8TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627026324",
"telephone_number": "217-525-1064",
"fax_number": "217-525-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N 8TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627026324",
"telephone_number": "217-525-1064",
"fax_number": "217-525-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "RAYMOND",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036069778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036069778",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.