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BRUCE ALAN BLACKHART M.D.
NPI 1700874286
Family Medicine in Oakdale, CA

Active since October 10, 2005PECOS EnrolledCLIA 05D0698619 · Microscopy
1425 W H ST, STE 200, OAKDALE, CA 95361(209) 848-1005(209) 845-8918 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce Alan Blackhart M.d. NPPES

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

BRUCE ALAN BLACKHART M.D. (NPI 1700874286) is an individual family medicine provider in Oakdale, California, licensed in California (G65918) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and holds a CLIA Microscopy certificate valid through November 1, 2026.

NPPES Registry Identity

NPI1700874286
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRUCE ALAN BLACKHARTCredential: M.D.
Location Address1425 W H ST, STE 200Oakdale, CA 95361-3588
Mailing Address1425 W H St, Ste 200Oakdale, CA 95361-3588 · (209) 848-1005 · Fax (209) 845-8918
Phone(209) 848-1005
Fax(209) 845-8918
Sole ProprietorYes
Enumeration DateOctober 10, 2005
Last NPPES UpdateFebruary 4, 2015
✔ NPI 1700874286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G65918
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.
1425 W H ST, Oakdale, CA 95361
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Other Identifiers 3

Medicaid00G659180CA
Medicare UPINF13911CA
Medicare PIN00G659180CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce Alan Blackhart M.d. 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.

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0698619

Bruce Blackhart MD · Oakdale, CA
Active · expires Nov 1, 2026
CLIA Number05D0698619
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorLee J. Horwitz
Laboratory Phone(209) 848-1005
Laboratory LocationBruce Blackhart MD1425 West H St, Suite 200, Oakdale, CA 95361
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95361 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 11

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

DR. ANDRES ALBERTO ARELLANO M.D.
Internal Medicine
1425 W H ST, SUITE 380
OAKDALE, CA 95361
Stanislaus County (209) 847-1596
MRS. KRYSTYNA T BELSKI M.D.
Pediatrics
1425 W H ST, SUITE # 330
OAKDALE, CA 95361
Stanislaus County (209) 848-8133
ALBERT HENRY GELDERS M.D.
Family Medicine
1425 W H ST, STE 200
OAKDALE, CA 95361
Stanislaus County (209) 848-1005
FLORIN VLASIE M.D., INC.
Pediatrics
1425 W H ST, SUITE 330
OAKDALE, CA 95361
Stanislaus County (209) 848-8133
CHAITANYA N. MAHIDA M.D., INC
Internal Medicine
1425 W H ST, SUITE 380
OAKDALE, CA 95361
Stanislaus County (209) 847-0314
MARK D COOK, MD, INC
Family Medicine
1425 W H ST, STE 200
OAKDALE, CA 95361
Stanislaus County (209) 848-1005
MRS. REBECCA J. DAY PA - FNP
Nurse Practitioner (Family)
1425 W H ST, 380
OAKDALE, CA 95361
Stanislaus County (209) 847-0314
MARK DANIEL COOK M.D.
Family Medicine
1425 W H ST, STE 200
OAKDALE, CA 95361
Stanislaus County (209) 848-1005

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 Bruce Blackhart's NPI number?

The NPI number for Bruce Blackhart is 1700874286. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Bruce Blackhart located?

Bruce Blackhart practices at 1425 W H St Ste 200, Oakdale, CA 95361. The listed phone number is (209) 848-1005.

What is Bruce Blackhart's specialty?

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

Is Bruce Blackhart enrolled in Medicare?

Yes. Bruce Blackhart is registered in the Medicare PECOS enrollment system.

Does Bruce Blackhart hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0698619) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bruce Blackhart was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.