Mark R Bladergroen, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Richmond, VA. Individual provider (NPI-1).
Details
- NPI
- 1124058342
- Entity type
- Individual (NPI-1)
- Name
- Mark R Bladergroen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Mar 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CARDIAC SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 0101042193 | VA | Yes |
Practice location
5875 Bremo RdSuite G-5
Richmond, VA 23226-1934
Phone 804-287-7840 · Fax 804-287-7845
Mailing address
5875 Bremo RdSuite G-5
Richmond, VA 23226-1934
Phone 804-287-7840 · Fax 804-287-7845
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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