BETHANY BLUM DO
NPI 1710334404
Neuromusculoskeletal Medicine & OMM in Philadelphia, PA

Q: What is Bethany Blum's NPI number?

The NPI number for Bethany Blum is 1710334404. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Q: What is Bethany Blum's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: Is Bethany Blum enrolled in Medicare?

No. Bethany Blum has opted out of Medicare through May 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Bethany Blum was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 23, 2016Opted out of Medicare · through May 20, 2027

4636 WOODLAND AVE, PHILADELPHIA, PA 19143(215) 792-6161 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Bethany Blum Do NPPES

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

BETHANY BLUM DO (NPI 1710334404) is an individual neuromusculoskeletal medicine & omm provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS020290) and active in the NPI registry since May 2016. She has opted out of Medicare through May 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710334404

Entity TypeIndividualFemale

Primary Taxonomy204D00000X

Provider Legal NameBETHANY BLUMCredential: DO

Location Address4636 WOODLAND AVEPhiladelphia, PA 19143-3854

Mailing Address4921 Osage AvePhiladelphia, PA 19143-1608 · (215) 792-6161 · Fax (717) 864-4002

Phone(215) 792-6161

Sole ProprietorYes

Enumeration DateMay 23, 2016

Last NPPES UpdateJanuary 8, 2020

✔ NPI 1710334404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in PA · OS020290

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

4636 WOODLAND AVE, Philadelphia, PA 19143

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bethany Blum Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2021 through May 20, 2027.

Opt-Out Effective DateMay 20, 2021

Opt-Out In Effect ThroughMay 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

SARAH MELANIE LEFKOWICH L.AC.

Acupuncturist

4636 WOODLAND AVE
PHILADELPHIA, PA 19143

Philadelphia County (215) 222-2303

JEREMIAH BUSH

Physician Assistant

4636 WOODLAND AVE, APT 2
PHILADELPHIA, PA 19143

Philadelphia County (216) 209-0705

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 Bethany Blum's NPI number?

The NPI number for Bethany Blum is 1710334404. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Bethany Blum located?

Bethany Blum practices at 4636 Woodland Ave, Philadelphia, PA 19143. The listed phone number is (215) 792-6161.

What is Bethany Blum's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Bethany Blum enrolled in Medicare?

No. Bethany Blum has opted out of Medicare through May 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bethany Blum was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.