BENNETT BLUM MD INC. NPI 1265653059

NPI Information

  • NPI: 1265653059
  • Provider Name: BENNETT BLUM, MD INC.
  • Classification: Psychiatry & Neurology - 2084F0202X
  • Specialization: Forensic Psychiatry
  • Entity Type: Organization
  • Address: 5150 E BROADWAY BLVD
    #1600
    TUCSON, AZ
    ZIP 85711
  • Phone: (520) 750-8868

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NPI Details

BENNETT BLUM, MD INC. is a forensic psychiatry psychiatry neurology in Tucson, AZ. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. 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 9/11/2025.

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
12084A0401XPsychiatry & NeurologyAddiction Medicine27112ARIZONANo
22084F0202XPsychiatry & NeurologyForensic Psychiatry27112ARIZONANo
32084H0002XPsychiatry & NeurologyHospice and Palliative Medicine27112ARIZONANo
42084P0015XPsychiatry & NeurologyPsychosomatic Medicine27112ARIZONANo
52084P0800XPsychiatry & NeurologyPsychiatry27112ARIZONANo
62084P0802XPsychiatry & NeurologyAddiction Psychiatry27112ARIZONANo
72084P0805XPsychiatry & NeurologyGeriatric Psychiatry27112ARIZONANo
82084P2900XPsychiatry & NeurologyPain Medicine27112ARIZONANo
9208D00000XGeneral Practice27112ARIZONANo
10208VP0000XPain MedicinePain Medicine27112ARIZONANo
11209800000XLegal Medicine27112ARIZONANo
122084F0202XPsychiatry & NeurologyForensic PsychiatryG72139CALIFORNIAYes

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: 11/21/2025

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