BRUCE GRAGG BLACKSTONE M.D.
NPI 1891760211
Orthopaedic Surgery in Longview, WA

Active since February 20, 2006PECOS Enrolled
625 9TH AVE, SUITE 210, LONGVIEW, WA 98632(360) 501-3400(360) 423-6862 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce Gragg Blackstone M.d. NPPES

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

BRUCE GRAGG BLACKSTONE M.D. (NPI 1891760211) is an individual orthopaedic surgery provider in Longview, Washington, licensed in Washington (MD00020762) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891760211
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBRUCE GRAGG BLACKSTONECredential: M.D.
Location Address625 9TH AVE, SUITE 210Longview, WA 98632-2465
Mailing Address625 9th Ave, Suite 210Longview, WA 98632-2465 · (360) 501-3400 · Fax (360) 423-6862
Fax(360) 423-6862
Sole ProprietorNo
Enumeration DateFebruary 20, 2006
Last NPPES UpdateSeptember 22, 2010
NPI 1891760211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WA · MD00020762
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
625 9TH AVE, Longview, WA 98632

Other Identifiers 4

Medicaid195560OR
Medicare UPINA08174
Medicaid1131101WA
Medicare PIN8855003WA

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 Gragg Blackstone 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 14

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

Orthopaedic Surgery
625 9TH AVE, STE 210
LONGVIEW, WA 98632
Urology
625 9TH AVE, SUITE 120
LONGVIEW, WA 98632
Occupational Therapist
625 9TH AVE, SUITE 220
LONGVIEW, WA 98632
Orthopaedic Surgery
625 9TH AVE, STE 210
LONGVIEW, WA 98632
Orthopaedic Surgery (Hand Surgery)
625 9TH AVE, STE 210
LONGVIEW, WA 98632
Urology
625 9TH AVE, SUITE 120
LONGVIEW, WA 98632
Physical Therapist (Orthopedic)
625 9TH AVE, SUITE 220
LONGVIEW, WA 98632
Physician Assistant
625 9TH AVE, STE 210
LONGVIEW, WA 98632

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 Blackstone's NPI number?

The NPI number for Bruce Blackstone is 1891760211. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Bruce Blackstone located?

Bruce Blackstone practices at 625 9th Ave Suite 210, Longview, WA 98632. The listed phone number is (360) 501-3400.

What is Bruce Blackstone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Bruce Blackstone enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bruce Blackstone was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.