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BRENDA K BLACKHAM MD NPI 1174635494


NPI Information

NPI: 1174635494
Provider Name: BRENDA K BLACKHAM, MD
Classification: Anesthesiology - 207L00000X
Entity Type: Individual
Address:
5770 FASHION BLVD
MURRAY, UT
ZIP 84107
Phone: (801) 993-9582
Get Directions

Brenda K Blackham, MD is an anesthesiology in Murray, UT. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. Brenda K Blackham, MD NPI is 1174635494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5770 FASHION BLVD
MURRAY, UT
ZIP 84107-548
Phone: (801) 993-9582
Fax: (801) 733-5618

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.


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
1207L00000XAnesthesiology90183338-1205UTAHYes

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
1107005709102OTHERUTAHIHC
2P00034252MEDICARE ID-TYPE UNSPECIFIEDUTAHRAILROAD MEDICARE
3PRA06458OTHERUTAHMOLINA
41502954OTHERUTAHUMWA
5824723MEDICAIDARIZONA
61189492500MEDICAIDWYOMING
773606OTHERUTAHPEHP
86761OTHERUTAHHEALTHY U
9305404OTHERUTAHDESERET MUTUAL
10F60061MEDICARE UPINUTAH
11870545614BL3OTHERUTAHEDUCATORS MUTUAL
12QM0000075886OTHERUTAHALTIUS
132090168OTHERUTAHUNITED HEALTHCARE

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.