BRENDAN BLACKFORD DO – NPI #1164163754
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
BRENDAN BLACKFORD is a physician located in LEMOORE, CA. NPPES has assigned the NPI number 1164163754 to BRENDAN BLACKFORD on April 06, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was last updated on Nov 22, 2024. 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 BRENDAN BLACKFORD below.
NPI Profile for
BRENDAN BLACKFORD
(more than 4 years ago)
LEMOORE, CA 93246-4700 Phone: (631) 707-3673 Fax:
1 Other location(s):
Hattiesburg, MS 39402-1308
Phone: (601) 296-3680
LEMOORE, CA 93246-0001 Phone: Fax:
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.
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 |
|---|---|---|
| 208D00000X - General Practice (Primary) |
MS | 32475 |
| 390200000X - Student in an Organized Health Care Education/Training Program |
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.