Active NPI
David William Blodgett, MD
- Public Health & General Preventive Medicine Physician
- St George, UT
National Provider Identifier
1902098429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 6413327-1205
- Practice address
- 620 S 400 E
Suite 400
St George, UT 84770-3700 - Phone
- (435) 986-2545
- NPI assigned
- Aug 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 6413327-1205 | UT | Primary |
| General Practice Physician | 208D00000X | 6413327-1205 | UT |
Addresses
Primary practice location
620 S 400 E
Suite 400
St George, UT 84770-3700
Mailing address
620 S 400 E
Suite 400
St George, UT 84770-3700
Phone (435) 986-2545
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6413327-1205 | UT | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Utah Public Health Department | Past | Accepting new patients | |
| Southwest Utah Public Health Dept | 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.
-
- Public Health or Welfare Agency
- St George, UT
- NPI 1619062759
-
- Public Health or Welfare Agency
- St George, UT
- NPI 1306841606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1902098429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 S 400 E",
"address_2": "SUITE 400",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703700",
"telephone_number": "435-986-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S 400 E",
"address_2": "SUITE 400",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703700",
"telephone_number": "435-986-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLODGETT",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-17",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "UT",
"license": "6413327-1205",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "UT",
"license": "6413327-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.