Julie A Bleyenberg, D.O. | NPI 1962443986

Key facts

NPI: 1962443986
Entity type: Individual (NPI type 1)
Primary specialty: Obstetrics & Gynecology Physician 207V00000X
License: 13421 (NH)
Practice address: 700 Central Ave
Central Commons
Dover, NH 03820-3408
Phone: (603) 742-2424
Fax: (603) 742-1763
NPI assigned: Jun 9, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 5

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.

Wentworth Douglass Physician Corporation Magnetic Resonance Imaging Radiologic Technologist · Dover, NH · NPI 1447352430

Medicare reassignment Care Compare group NPD NH
Dartmouth-Hitchcock Clinic Internal Medicine Physician · Lebanon, NH · NPI 1548210198

Medicare reassignment NPD NH · OBSTETRICS & GYNECOLOGY
Wentworth Douglass Hospital General Acute Care Hospital · Portsmouth, NH · NPI 1528687829

NPD
Wentworth Douglass Physician Corporation Diagnostic Radiology Physician · Somersworth, NH · NPI 1295326494

NPD
Wentworth Douglass Hospital General Acute Care Hospital · Dover, NH · NPI 1033118104

NPD (past)

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Exeter Hospital Inc General Acute Care Hospital · Exeter, NH · NPI 1437158433

Care Compare affiliation Hospital
Wentworth Douglass Hospital General Acute Care Hospital · Dover, NH · NPI 1033118104

Care Compare affiliation Hospital
Wentworth Douglass Hospital Diabetes Educator Registered Nurse · Dover, NH · NPI 1407385198

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Obstetrics/Gynecology
Education: Other, 2002
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Wentworth Douglass Physician Corporation (429 clinicians)

Practice addresses (Care Compare)

15 Old Rollinsford Rd
Suite 102
Dover, NH 03820-2840
Phone (603) 749-4963

Hospital & facility affiliations

Wentworth-Douglass Hospital Hospital · Dover, NH · CCN 300018
Exeter Hospital Inc Hospital · Exeter, NH · CCN 300023

Procedures performed for Medicare patients

Procedure	Number of procedures
Removal of the uterus	1-10

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NH
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20070503000516	NH	Practitioner - Obstetrics/Gynecology	4284638669	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy, Doctor of Medicine

State licenses

License	State	Type	Specialty
13421	NH	MD	Critical Care Medicine (Obstetrics & Gynecology) Physician
PENDING	OH	MD	Vascular Neurology Physician

Practice roles

Organization	Specialty	Status	New patients
Wentworth Douglass Physician Corporation		Current since Feb 1, 2019	Accepting new patients
Wentworth Douglass Hospital		Current	Accepting new patients
Dartmouth-Hitchcock Clinic	Obstetrics & Gynecology	Current since Jan 14, 2019	Accepting new patients
Wentworth Douglass Physician Corporation		Current since Feb 1, 2019	Accepting new patients
Wentworth Douglass Hospital		Past	Accepting new patients

Locations

15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212

Interoperability endpoints

Direct secure messaging: bleyenberg.julie.wdh@direct.partners.masshiway.net

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Obstetrics & Gynecology Physician	207V00000X	PENDING	OH
Critical Care Medicine (Obstetrics & Gynecology) Physician	207VC0200X	13421	NH
Critical Care Medicine (Obstetrics & Gynecology) Physician	207VC0200X	PENDING	OH
Gynecology Physician	207VG0400X	PENDING	OH
Obstetrics & Gynecology Physician	207V00000X	13421	NH	Yes

Addresses

Primary practice location

700 Central Ave
Central Commons
Dover, NH 03820-3408

Mailing address

700 Central Ave.
Dover, NH 03820-3408
Phone (603) 742-2424

Other practice location 1

8 Prospect Street
SNHMC - OB/Gyn
Nashua, NH 03060
Phone (603) 577-3407

Other practice location 2

15 Old Rollinsford Rd Ste 102
Dover, NH 03820-2869
Phone (603) 749-4963

Other identifiers

Identifier	Type	State	Issuer
2669901	Medicaid	OH
34-008813	Other	OH	LICENSE 7-31-09 EXP
3071612	Medicaid	NH

Other providers in Dover, NH

Amy Blackburn, PSY.D.
Michael P Blackman, D.C.
Margaux Heid Blackstone, RDH
Lisa Eileen Blanchard, LMT
Amie Blanchette, PT
Blue Water Counseling and Wellness, PLLC
Body Rituals Wellness & Spa
Pragati Bogra, MD
Paula Boivin, OTR/L
Sara Mendoza Bollacke

All providers in Dover, NH · Obstetrics & Gynecology Physician in New Hampshire

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.