NPI 1003033119 · live from the CMS NPI Registry
Brad D. Blankenhorn, M.D.
Orthopaedic Surgery in East Providence, RI. National Provider Identifier 1003033119, active.
NPI record
| NPI | 1003033119 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1 Kettle Point Ave, East Providence, RI 02914 |
| Practice phone | 401-330-1405 |
| Mailing address | Po Box 1119, Providence, RI 02901 |
| Enumerated | April 19, 2007 |
| Last updated | February 14, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 2012-0546 (NM) |
| Orthopaedic Surgery primary | 207X00000X | MD13206 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.