BENNETT BLUM MD INC. NPI 1265653059

NPI Information

NPI: 1265653059
Provider Name: BENNETT BLUM, MD INC.
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
5150 E BROADWAY BLVD
#1600
TUCSON, AZ
ZIP 85711
Phone: (520) 750-8868
Get Directions

BENNETT BLUM, MD INC. is an addiction medicine psychiatry neurology in Tucson, AZ. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine BENNETT BLUM, MD INC. NPI is 1265653059. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5150 E BROADWAY BLVD
#1600
TUCSON, AZ
ZIP 85711-762
Phone: (520) 750-8868

The provider's authorized official is Bennett Blum .
The authorized official title is President and has the following contact phone number (520) 750-8868.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.

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	2084A0401X	Psychiatry & Neurology	Addiction Medicine	27112	ARIZONA	Yes
2	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	27112	ARIZONA	X
3	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	G72139	CALIFORNIA	X
4	2084H0002X	Psychiatry & Neurology	Hospice and Palliative Medicine	27112	ARIZONA	X
5	2084P0015X	Psychiatry & Neurology	Psychosomatic Medicine	27112	ARIZONA	X
6	2084P0800X	Psychiatry & Neurology	Psychiatry	27112	ARIZONA	X
7	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	27112	ARIZONA	X
8	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	27112	ARIZONA	X
9	2084P2900X	Psychiatry & Neurology	Pain Medicine	27112	ARIZONA	X
10	208D00000X	General Practice		27112	ARIZONA	X
11	208VP0000X	Pain Medicine	Pain Medicine	27112	ARIZONA	X
12	209800000X	Legal Medicine		27112	ARIZONA	X

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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