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BURTON BLENDER DO
NPI 1366414005
Family Medicine in Philadelphia, PA

Active since February 06, 2006
335 E WYOMING AVE, PHILADELPHIA, PA 19120(215) 455-0113(215) 455-0853 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Burton Blender Do NPPES

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

BURTON BLENDER DO (NPI 1366414005) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS001927L) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1366414005
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBURTON BLENDERCredential: DO
Location Address335 E WYOMING AVEPhiladelphia, PA 19120
Mailing Address101 East Olney Ave, 505Philadelphia, PA 19120
Phone(215) 455-0113
Fax(215) 455-0853
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateFebruary 5, 2010
✔ NPI 1366414005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS001927L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
335 E WYOMING AVE, Philadelphia, PA 19120
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Other Identifiers 3

Medicare UPINB34191
Medicare ID-Type Unspecified0000041528
Medicaid006567420005PA

Other Providers at the Same Location NPPES 2

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

GERALD TADLEY DO
Family Medicine
335 E WYOMING AVE
PHILADELPHIA, PA 19120
Philadelphia County (215) 455-0113
LOYA EYE CARE LLC
Optometrist
335 E WYOMING AVE
PHILADELPHIA, PA 19120
Philadelphia County (267) 439-2411

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 Burton Blender's NPI number?

The NPI number for Burton Blender is 1366414005. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Burton Blender located?

Burton Blender practices at 335 E Wyoming Ave, Philadelphia, PA 19120. The listed phone number is (215) 455-0113.

What is Burton Blender's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Burton Blender was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.