BRENDA A. BLOHM MD – NPI #1881677011
Family Medicine

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 is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

BRENDA BLOHM is a physician located in PORTAGE, WI. NPPES has assigned the NPI number 1881677011 to BRENDA BLOHM on November 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Oct 14, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRENDA BLOHM below.

NPI Profile for
BRENDA A. BLOHM

NPI Number
1881677011
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BRENDA A. BLOHM
Credentials
MD
Primary location
2817 NEW PINERY RD
DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901-9257
Phone: (608) 745-4598 Fax: (608) 745-6242
Mailing address
PO BOX 387
DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901-0387
Phone: (608) 745-4598 Fax: (608) 745-6242
Sole Proprietor
No
Updated
Identifiers

Identifiers for BRENDA BLOHM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI32383000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 WI 38801020

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
BRENDA BLOHM is affiliated with the following medical group(s):
  • HOSPITAL
    • DIVINE SAVIOR HEALTHCARE
      2817 NEW PINERY ROAD
      PORTAGE, WI 53901
  • HOME HEALTH AGENCY
    • AVEANNA HOME HEALTH
      407 OAK ST
      BARABOO, WI 53913
    • TRANSITIONS HOME HEALTH OF CENTRAL WISCONSIN
      4949 KIRSCHLING CT., SUITE 2
      STEVENS POINT, WI 54481
  • NURSING HOME
    • COLUMBIA HEALTH CARE CENTER
      323 W MONROE ST
      WYOCENA, WI 53969
    • MONTELLO CARE CENTER
      251 FOREST LANE
      MONTELLO, WI 53949
    • TIVOLI AT DIVINE SAVIOR HEALTHCARE
      2805 HUNTERS TRAIL
      PORTAGE, WI 53901
  • HOSPICE
    • AGRACE HOSPICECARE
      5395 E CHERYL PKWY
      MADISON, WI 53711
    • MOMENTS HOSPICE OF MADISON
      5315 WALL ST SUITE 135
      MADISON, WI 53718
    • ST CROIX HOSPICE
      830 STATE RD SUITE 3
      BARABOO, WI 53913

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.