Individual provider
BRAD D. BLANKENHORN, M.D.
CMS NPPES lists BRAD D. BLANKENHORN as an individual provider record with NPI 1003033119. The current record reports a primary practice location in EAST PROVIDENCE, RI and primary taxonomy code 207X00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location1 KETTLE POINT AVEEAST PROVIDENCE, RI 029145375
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
207X00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- April 19, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.