DR. BRUCE ROBERT BLAZAR M.D. NPI 1003842162

NPI Information

NPI: 1003842162
Provider Name: DR. BRUCE ROBERT BLAZAR, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
516 DELAWARE STREET SE
UNIVERSITY OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-2800
Get Directions

DR. Bruce Robert Blazar, M.D. is a pediatric hematology-oncology pediatrics in Minneapolis, MN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Bruce Robert Blazar, M.D. NPI is 1003842162. 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:

516 DELAWARE STREET SE
UNIVERSITY OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-2800

The NPI 1003842162 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 10/24/2012.

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	208000000X	Pediatrics		25330	MINNESOTA	No
2	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	25330	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12-70281	OTHER	MINNESOTA	MEDICA PRIMARY
2	7777470	MEDICAID	SOUTH DAKOTA
3	30695100	MEDICAID	WISCONSIN
4	0243838	MEDICAID	OHIO
5	768027	OTHER	MINNESOTA	ARAZ
6	HP21976	OTHER	MINNESOTA	HEALTHPARTNERS
7	2086719301	MEDICAID	KANSAS
8	0506782	MEDICARE ID-TYPE UNSPECIFIED	IOWA	IA MA
9	0052326	MEDICAID	MONTANA
10	10387	MEDICAID	NORTH DAKOTA
11	761878600	MEDICAID	MINNESOTA
12	1008985	OTHER	MINNESOTA	PREFERRED ONE
13	12-24756	OTHER	MINNESOTA	MEDICA CHOICE
14	132947	OTHER	MINNESOTA	UCARE
15	370010895	MEDICARE UPIN	MINNESOTA
16	D82174	MEDICARE UPIN	MINNESOTA
17	1986259	MEDICAID	LOUISIANA

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: 4/28/2024

NPI Synchronization or Removal

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