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BLUTH FAMILY MEDICINE, LLC
NPI 1487883112
Family Medicine in Weatherford, OK

Active since July 01, 2009CLIA 37D1102843 · Waiver
1315 N WASHINGTON ST, WEATHERFORD, OK 73096(580) 772-2344(580) 772-2330 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bluth Family Medicine, Llc NPPES

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

BLUTH FAMILY MEDICINE, LLC (NPI 1487883112) is a healthcare organization registered as a family medicine in Weatherford, Oklahoma and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Brian Lee Bluth, Owner/ Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1487883112
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUTH FAMILY MEDICINE, LLC
Location Address1315 N WASHINGTON STWeatherford, OK 73096-2443
Mailing Address1315 N Washington StWeatherford, OK 73096-5437 · (580) 772-2344 · Fax (580) 772-2330
Phone(580) 772-2344
Fax(580) 772-2330
Organization SubpartNo
Authorized OfficialBrian Lee BluthOwner/ Medical Doctor · (580) 772-2344
Enumeration DateJuly 1, 2009
Last NPPES UpdateNovember 19, 2018
✔ NPI 1487883112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 27013
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.
1315 N WASHINGTON ST, Weatherford, OK 73096
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bluth Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bluth Family Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Brian Bluth, MD
Family Practice
NPI 1215043435
1315 N WASHINGTON ST
Weatherford, OK 73096
(580) 772-2344
✔ PECOS✔ Accepts MedicareSame address
Nichole Blackburn, FNP-C
Nurse Practitioner
NPI 1154027829
522 N MAIN ST
Elk City, OK 73644
(580) 243-2200
✔ PECOS✔ Accepts Medicare41 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1102843

Bluth Family Medicine · Weatherford, OK
Active · expires Jul 26, 2027
CLIA Number37D1102843
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorBrian L. Bluth
Laboratory Phone(580) 772-2344
Laboratory LocationBluth Family Medicine1315 N Washington St, Weatherford, OK 73096
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bluth Family Medicine, LLC's NPI number?

The NPI number for Bluth Family Medicine, LLC is 1487883112. It was assigned to this organization in the NPPES registry on July 1, 2009.

Where is Bluth Family Medicine, LLC located?

Bluth Family Medicine, LLC is located at 1315 N Washington St, Weatherford, OK 73096. The listed phone number is (580) 772-2344.

What is Bluth Family Medicine, LLC's specialty?

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

Is Bluth Family Medicine, LLC enrolled in Medicare?

Yes. Bluth Family Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluth Family Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bluth Family Medicine, LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bluth Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1102843) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bluth Family Medicine, LLC was last updated on November 19, 2018. 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.