DR. BRADLEY KEVIN BLOEMKER M.D., PH.D.
NPI 1295722387
Obstetrics & Gynecology in Saint Paul, MN

Q: What is Bradley Bloemker's NPI number?

The NPI number for Bradley Bloemker is 1295722387. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is Bradley Bloemker's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Bloemker was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment

347 SMITH AVE N STE 203, SAINT PAUL, MN 55102(651) 241-7733(651) 241-7798 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bradley Kevin Bloemker M.d., Ph.d. NPPES

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

DR. BRADLEY KEVIN BLOEMKER M.D., PH.D. (NPI 1295722387) is an individual obstetrics & gynecology provider in Saint Paul, Minnesota, licensed in Wisconsin (86270) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Creighton University School Of Medicine (2001).

NPPES Registry Identity

NPI1295722387

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. BRADLEY KEVIN BLOEMKERCredential: M.D., PH.D.

Location Address347 SMITH AVE N STE 203Saint Paul, MN 55102-2388

Mailing AddressPo Box 43Minneapolis, MN 55440-0043 · (612) 262-1166 · Fax (612) 262-4255

Phone(651) 241-7733

Fax(651) 241-7798

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2001

Enumeration DateOctober 4, 2005

Last NPPES UpdateNovember 20, 2025

NPPES CertifiedNovember 20, 2025

✔ NPI 1295722387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in WI · 86270✔ Licensed in MN · 58300✔ Licensed in MO · 2005019928

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

347 SMITH AVE N STE 203, Saint Paul, MN 55102

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Secondary Practice Locations 2

Location 1300 S Bruce StMarshall, MN 56258-1934 · Phone (507) 537-9007 · Fax (507) 537-2730

Location 21000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 387-5511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bradley Kevin Bloemker M.d., Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921036138

PECOS Enrollment IDI20050729000191

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

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