Bradley S. Blankenship in Modesto - Family Medicine
Bradley S. Blankenship - NPI 1619923810
Bradley S. Blankenship is a Family Medicine in Modesto, California. Bradley S. Blankenship practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bradley S. Blankenship is 1619923810. The last update date is 2019-05-07.
Bradley S. Blankenship's current location address is 1444 Florida Ave Ste 200, Modesto, California. You can contact this provider via phone number 2095241264. The mailing address for Bradley S. Blankenship is 1444 Florida Ave Ste 200, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley S. Blankenship |
|---|---|
| Address | 1444 Florida Ave Ste 200, Modesto, California |
| Phone Number | 2095241264 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619923810 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2019-05-07 |
Provider Mailing Address Detail
| Address | 1444 Florida Ave Ste 200 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504400 |
| Phone Number | 2095241264 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G75672 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code assigned to Bradley S. Blankenship by the Centers for Medicare & Medicaid Services?
The Bradley S. Blankenship has been issued the NPI (National Provider Identifier) 1619923810 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Bradley S. Blankenship?
The Bradley S. Blankenship is physically situated at 1444 Florida Ave Ste 200, in the city of Modesto, state of CA, with the postal code 953504400.
What is Bradley S. Blankenship's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley S. Blankenship's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date was the 1619923810 assigned to Bradley S. Blankenship?
The Bradley S. Blankenship was issued its 1619923810 on 2006-05-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Bradley S. Blankenship most recently updated or revised?
The information pertaining to Bradley S. Blankenship, including its address, specialty, and other relevant details, was last updated or revised on 2019-05-07.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY