DR. ROBERT EARL BLACKWELDER M.D. NPI 1912992413

NPI Information

  • NPI: 1912992413
  • Provider Name: DR. ROBERT EARL BLACKWELDER, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • Address: 260 HOSPITAL DR STE 201
    UKIAH, CA
    ZIP 95482
  • Phone: (707) 463-8000

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NPI Details

DR. Robert Earl Blackwelder, M.D. is an urology in Ukiah, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Robert Earl Blackwelder, M.D. NPI is 1912992413. 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:

260 HOSPITAL DR STE 201
UKIAH, CA
ZIP 95482-533
Phone: (707) 463-8000
Fax: (707) 462-1111

The enumeration date for this NPI number is 9/12/2005 and was last updated on 9/15/2010.

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
1208800000XUrologyAB7832454CALIFORNIAYes

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
1340004324MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIARAILROAD MEDICARE #
2A24161MEDICARE UPINCALIFORNIA
3ZZZ99532ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIALAKEPORT PROVIDER #
4ZZZ74887ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAUKIAH PROVIDER #
5ZZZ99729ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAFORT BRAGG PROVIDER #
6ZZZ74887ZMEDICAIDCALIFORNIA
7LAB11989FMEDICAIDCALIFORNIA

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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