SCOTT L. BLEAZARD MD – NPI #1679695761
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

SCOTT BLEAZARD is a radiologist located in MOUNT SHASTA, CA. NPPES has assigned the NPI number 1679695761 to SCOTT BLEAZARD on April 06, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Mar 24, 2026. 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 SCOTT BLEAZARD below.

NPI Profile for
SCOTT L. BLEAZARD

NPI Number
1679695761
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SCOTT L. BLEAZARD
Credentials
MD
Primary location
914 PINE ST
MOUNT SHASTA, CA 96067
Phone: (530) 926-9329 Fax: (855) 251-4626
1 Other location(s):
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1301
Fax: (612) 294-4903
Mailing address
PO BOX 1086
YREKA, CA 96097-1086
Phone: (530) 842-7297 Fax: (530) 842-9054
Sole Proprietor
No
Updated
Certification Date
Mar 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 CA C55792

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

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SCOTT BLEAZARD is affiliated with the following medical group(s):
  • HOSPITAL
    • FAIRCHILD MEDICAL CENTER
      444 BRUCE STREET
      YREKA, CA 96097
    • MERCY MEDICAL CENTER OF MT SHASTA
      914 PINE STREET
      MOUNT SHASTA, CA 96067
    • MODOC MEDICAL CENTER
      1111 N NAGLE STREET
      ALTURAS, CA 96101

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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.