DR. BENNETT BLUM MD
NPI 1124322151
Psychiatry & Neurology - Geriatric Psychiatry in Tucson, AZ

Active since January 05, 2011
5425 E BROADWAY BLVD, PMB #358, TUCSON, AZ 85711(520) 990-4145 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bennett Blum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENNETT BLUM MD (NPI 1124322151) is an individual geriatric psychiatry provider in Tucson, Arizona, licensed in Arizona (27112) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1124322151
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NameDR. BENNETT BLUMCredential: MD
Location Address5425 E BROADWAY BLVD, PMB #358Tucson, AZ 85711-3704
Mailing Address5425 E Broadway Blvd, Pmb #358Tucson, AZ 85711-3704 · (520) 990-4145
Sole ProprietorNo
Enumeration DateJanuary 5, 2011
NPI 1124322151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
Licenses Licensed in AZ · 27112 Licensed in CA · G72139
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License 27112 (AZ), G72139 (CA)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License G72139 (CA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 27112 (AZ), G72139 (CA)
5425 E BROADWAY BLVD, Tucson, AZ 85711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bennett Blum's NPI number?

The NPI number for Bennett Blum is 1124322151. It was assigned to this individual provider in the NPPES registry on January 5, 2011.

Where is Bennett Blum located?

Bennett Blum practices at 5425 E Broadway Blvd Pmb #358, Tucson, AZ 85711. The listed phone number is (520) 990-4145.

What is Bennett Blum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

When was this NPI record last updated?

The NPPES record for Bennett Blum was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.