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BRADLEY A BLACKBURN MD NPI 1033102124


NPI Information

NPI: 1033102124
Provider Name: BRADLEY A BLACKBURN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: SOUTHWEST GENERAL MEDICAL GROUP, INC.

PECOS Registration: Yes

Address:
18181 PEARL RD STE A102
STRONGSVILLE, OH
ZIP 44136
Phone: (440) 816-4250
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Bradley A Blackburn, MD is a diagnostic radiology radiology in Strongsville, OH with 47 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Bradley A Blackburn, MD NPI is 1033102124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:1977

The provider's business location address is:

18181 PEARL RD STE A102
STRONGSVILLE, OH
ZIP 44136-951
Phone: (440) 816-4250

The NPI 1033102124 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • X-ray of chest, 1 view, front (HCPCS:71010)
  • Ultrasound of head and neck (HCPCS:76536)
  • Injections of substances into lower or sacral spine (HCPCS:62311)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 8/24/2005 and was last updated on 1/19/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology35053437OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000221054OTHEROHIOUNISON
2000000302578OTHEROHIOANTHEM
34007005OTHEROHIOAETNA
4414948OTHEROHIOWELLCARE
5P00412281OTHEROHIORAILROAD MEDICARE
6740475OTHEROHIOBUCKEYE
7000000511513OTHEROHIOANTHEM
80304914OTHEROHIOBCMH
90629172MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.