BLAKE A. BARTHOLOMEW MD NPI 1619539749

NPI Information

  • NPI: 1619539749
  • Provider Name: BLAKE A. BARTHOLOMEW, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 N 1900 E RM 1A071
    SALT LAKE CITY, UT
    ZIP 84132
  • Phone: (801) 581-2868

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NPI Details

Blake A. Bartholomew, MD is a diagnostic radiology radiology in Salt Lake City, UT with 7 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Blake A. Bartholomew, MD NPI is 1619539749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

30 N 1900 E RM 1A071
SALT LAKE CITY, UT
ZIP 84132-002
Phone: (801) 581-2868

The NPI 1619539749 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 6/28/2019 and was last updated on 3/6/2025.

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
1207R00000XInternal Medicine4351045622MICHIGANNo
22085R0202XRadiologyDiagnostic Radiology11885469-1205UTAHYes

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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