MR. BOBBY R BLUM ANP-C
NPI 1235403643
Nurse Practitioner - Adult Health in Greenville, IL

Active since March 02, 2012
200 HEALTH CARE DR, GREENVILLE, IL 62246(618) 664-1230 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Mr. Bobby R Blum Anp-c NPPES

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

MR. BOBBY R BLUM ANP-C (NPI 1235403643) is an individual adult health provider in Greenville, Illinois, licensed in Illinois (209010152) and active in the NPI registry since March 2012. He maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1235403643
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. BOBBY R BLUMCredential: ANP-C
Location Address200 HEALTH CARE DRGreenville, IL 62246-1154
Mailing Address4550 Memorial Dr, Ste. 340Belleville, IL 62226-5372 · (618) 257-6200 · Fax (618) 257-6679
Sole ProprietorNo
Enumeration DateMarch 2, 2012
Last NPPES UpdateMay 10, 2019
✔ NPI 1235403643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209010152
200 HEALTH CARE DR, Greenville, IL 62246

Secondary Practice Location 1

Location 14550 Memorial Dr, Ste. 340Belleville, IL 62226-5372 · Phone (618) 257-6200 · Fax (618) 257-6679

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
200 HEALTH CARE DR
GREENVILLE, IL 62246
Emergency Medicine
200 HEALTH CARE DR
GREENVILLE, IL 62246
Hospitalist
200 HEALTH CARE DR
GREENVILLE, IL 62246
Emergency Medicine
200 HEALTH CARE DR
GREENVILLE, IL 62246
Nurse Anesthetist, Certified Registered
200 HEALTH CARE DR
GREENVILLE, IL 62246
Emergency Medicine
200 HEALTH CARE DR
GREENVILLE, IL 62246
Social Worker (Clinical)
200 HEALTH CARE DR
GREENVILLE, IL 62246
Internal Medicine
200 HEALTH CARE DR
GREENVILLE, IL 62246

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 Bobby Blum's NPI number?

The NPI number for Bobby Blum is 1235403643. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Bobby Blum located?

Bobby Blum practices at 200 Health Care Dr, Greenville, IL 62246. The listed phone number is (618) 664-1230.

What is Bobby Blum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Bobby Blum was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.