Active NPI
Richard Blum
- Specialist
- Winchester, VA
National Provider Identifier
1972908119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2306001616
- Practice address
- 302 Lilys Way
Winchester, VA 22602-7651 - Phone
- (540) 771-4228
- NPI assigned
- Oct 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2306001616 | VA | Primary |
Addresses
Primary practice location
302 Lilys Way
Winchester, VA 22602-7651
Mailing address
302 Lilys Way
Winchester, VA 22602-7651
Phone (540) 771-4228
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306001616 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1972908119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 LILYS WAY",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226027651",
"telephone_number": "540-771-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 LILYS WAY",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226027651",
"telephone_number": "540-771-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-30",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "2306001616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
- Blue Ridge Independence at Home
- Blue Ridge Palliative Care Services
- Blue Ridge Pediatrics Associates LTD
- Blue Ridge Radiation Oncology
- Blue Ridge Womens Care PC
- Catherine L Boatright, OTR/L
- Ramona Jeanne Bock, MSN, FNP-C
- Boden Fitness Durable Medical Equipment
- Boden Fitness System LLC
- Boden Health National Gout Centers, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.