Dr. Bradley Kevin Bloemker, M.D., Ph.D.
Obstetrics & Gynecology in Saint Paul, MN. Individual provider (NPI-1).
Details
- NPI
- 1295722387
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bradley Kevin Bloemker
- Credential
- M.D., Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2005
- Certification date
- Nov 20, 2025
- Last updated
- Nov 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- 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 |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 86270 | WI | Yes |
| 207V00000X | Obstetrics & Gynecology | 58300 | MN | |
| 207V00000X | Obstetrics & Gynecology | 2005019928 | MO |
Practice location
347 Smith Ave N Ste 203Saint Paul, MN 55102-2388
Phone 651-241-7733 · Fax 651-241-7798
Mailing address
Po Box 43Minneapolis, MN 55440-0043
Phone 612-262-1166 · Fax 612-262-4255
Other practice locations
Marshall, MN 56258-1934
Phone 507-537-9007 · Fax 507-537-2730
Marshfield, WI 54449-5703
Phone 715-387-5511
Is something wrong?
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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All 53 Obstetrics & Gynecology Physician providers in Saint Paul · All 12,912 providers in Saint Paul
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