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BRENDA A BLOHM MD
NPI 1881677011
Family Medicine in Portage, WI

Active since November 22, 2005
86.87/100
CMS Quality Rating
2817 NEW PINERY RD, DIVINE SAVIOR HEALTHCARE INC, PORTAGE, WI 53901(608) 745-4598(608) 745-6242 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda A Blohm Md NPPES

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

BRENDA A BLOHM MD (NPI 1881677011) is an individual family medicine provider in Portage, Wisconsin, licensed in Wisconsin (38801020) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1881677011
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBRENDA A BLOHMCredential: MD
Location Address2817 NEW PINERY RD, DIVINE SAVIOR HEALTHCARE INCPortage, WI 53901-9257
Mailing AddressPo Box 387, Divine Savior Healthcare IncPortage, WI 53901-0387 · (608) 745-4598 · Fax (608) 745-6242
Phone(608) 745-4598
Fax(608) 745-6242
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateOctober 14, 2011
✔ NPI 1881677011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 38801020
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.
2817 NEW PINERY RD, Portage, WI 53901
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Other Identifiers 3

Medicaid32383000WI
Medicare PIN000513135WI
Medicare UPING19346

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.05
Promoting Interoperability100
Improvement Activities40
Cost63.39

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.

BRITTANY LEIGH READ CCC-SLP
Speech-Language Pathologist
2817 NEW PINERY RD
PORTAGE, WI 53901
Columbia County (608) 742-4131
ELIZABETH SHARRON REDDEMAN DPT
Physical Therapist
2817 NEW PINERY RD
PORTAGE, WI 53901
Columbia County (608) 745-6290
MRS. BONNIE SUE STANISLAWSKI AU. D.
Audiologist-Hearing Aid Fitter
2817 NEW PINERY RD, SUITE 103
PORTAGE, WI 53901
Columbia County (608) 745-6290
MADISON LEE PHARMD
Pharmacist
2817 NEW PINERY RD
PORTAGE, WI 53901
Columbia County (608) 742-4131
DEBORAH BRZYCKI CRNA
Nurse Anesthetist, Certified Registered
2817 NEW PINERY RD
PORTAGE, WI 53901
Columbia County (262) 416-8317
TERRA THIMM
Emergency Medicine
2817 NEW PINERY RD
PORTAGE, WI 53901
Columbia County (608) 742-4131
DILLON VIA
Physician Assistant
2817 NEW PINERY RD
PORTAGE, WI 53901
Columbia County (608) 742-4131
MICHAEL C WALTERS MD
Emergency Medicine
2817 NEW PINERY RD
PORTAGE, WI 53901
Columbia County (608) 745-5689

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 Brenda Blohm's NPI number?

The NPI number for Brenda Blohm is 1881677011. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Brenda Blohm located?

Brenda Blohm practices at 2817 New Pinery Rd Divine Savior Healthcare Inc, Portage, WI 53901. The listed phone number is (608) 745-4598.

What is Brenda Blohm's specialty?

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

When was this NPI record last updated?

The NPPES record for Brenda Blohm was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.