DR. BENNETT BLUM MD NPI 1124322151

NPI Information

NPI: 1124322151
Provider Name: DR. BENNETT BLUM, MD
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Individual

Specialization: Geriatric Psychiatry

Address:
5425 E BROADWAY BLVD
PMB #358
TUCSON, AZ
ZIP 85711
Phone: (520) 990-4145
Get Directions

DR. Bennett Blum, MD is a geriatric psychiatry psychiatry neurology in Tucson, AZ. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. DR. Bennett Blum, MD NPI is 1124322151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5425 E BROADWAY BLVD
PMB #358
TUCSON, AZ
ZIP 85711-704
Phone: (520) 990-4145

The enumeration date for this NPI number is 1/5/2011 and was last updated on 1/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	27112	ARIZONA	No
2	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	G72139	CALIFORNIA	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	G72139	CALIFORNIA	No
4	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	G72139	CALIFORNIA	No
5	208D00000X	General Practice		27112	ARIZONA	No
6	208D00000X	General Practice		G72139	CALIFORNIA	No
7	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	27112	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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