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JOSEPH MAX BLOMMER
NPI 1407611387
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since February 19, 2024PECOS Enrolled
110 S PACA ST FL 6, BALTIMORE, MD 21201(856) 361-6427 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joseph Max Blommer NPPES

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

JOSEPH MAX BLOMMER (NPI 1407611387) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407611387
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH MAX BLOMMER
Location Address110 S PACA ST FL 6Baltimore, MD 21201-1642
Mailing Address110 S Paca St Fl 6Baltimore, MD 21201-1642 · (856) 361-6427
Phone(856) 361-6427
Sole ProprietorNo
Enumeration DateFebruary 19, 2024
Last NPPES UpdateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1407611387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

110 S PACA ST FL 6, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Max Blommer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. MICHELLE GHERT MD
Orthopaedic Surgery
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (614) 397-2721
BABETTE NEWMAN DO
Emergency Medicine
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (667) 214-2208
DR. AVA OMIDVAR MD
Student in an Organized Health Care Education/Training Program
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (667) 214-2208
SERGE MBIANDA TZEUTON MD
Student in an Organized Health Care Education/Training Program
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (410) 328-8915
RACHAEL MARIE LEE DO
Student in an Organized Health Care Education/Training Program
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (667) 214-2180
HEBA AL REBH M.D.
Emergency Medicine
110 S PACA ST FL 6, SUITE 200
BALTIMORE, MD 21201
Baltimore City (571) 201-9587
DR. MICHAEL GRAHAM LIVESEY MD
Student in an Organized Health Care Education/Training Program
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (410) 328-8915
DR. SALEM ALGHAMDI MD
Student in an Organized Health Care Education/Training Program
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (410) 328-8025

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 Joseph Blommer's NPI number?

The NPI number for Joseph Blommer is 1407611387. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Joseph Blommer located?

Joseph Blommer practices at 110 S Paca St Fl 6, Baltimore, MD 21201. The listed phone number is (856) 361-6427.

What is Joseph Blommer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joseph Blommer enrolled in Medicare?

Yes. Joseph Blommer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Blommer was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.