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FREDRICK BRUCE BLAISDELL MD
NPI 1437845187
Family Medicine in Grand Rapids, MN

Active since April 14, 2023PECOS Enrolled
1542 GOLF COURSE RD STE 203, GRAND RAPIDS, MN 55744(218) 322-4900 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 7, 2024, Apr 14, 2023 (2 updates tracked since 2023).

About Fredrick Bruce Blaisdell Md NPPES

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

FREDRICK BRUCE BLAISDELL MD (NPI 1437845187) is an individual family medicine provider in Grand Rapids, Minnesota, licensed in Minnesota (77871) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School.

NPPES Registry Identity

NPI1437845187
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFREDRICK BRUCE BLAISDELLCredential: MD
Location Address1542 GOLF COURSE RD STE 203Grand Rapids, MN 55744-3557
Mailing Address1542 Golf Course Rd Ste 203Grand Rapids, MN 55744-3557 · (218) 322-4900
Phone(218) 322-4900
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical School
Enumeration DateApril 14, 2023
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1437845187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 77871
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.
1542 GOLF COURSE RD STE 203, Grand Rapids, MN 55744
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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)

Fredrick Bruce Blaisdell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941661938
PECOS Enrollment IDI20260105003067
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 55744 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Fredrick Blaisdell's NPI number?

The NPI number for Fredrick Blaisdell is 1437845187. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Fredrick Blaisdell located?

Fredrick Blaisdell practices at 1542 Golf Course Rd Ste 203, Grand Rapids, MN 55744. The listed phone number is (218) 322-4900.

What is Fredrick Blaisdell's specialty?

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

Is Fredrick Blaisdell enrolled in Medicare?

Yes. Fredrick Blaisdell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fredrick Blaisdell was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.