BLECKER MD LLC
NPI 1922874916
Internal Medicine in Sebastian, FL

Q: What is Blecker MD LLC's NPI number?

The NPI number for Blecker MD LLC is 1922874916. It was assigned to this organization in the NPPES registry on November 30, 2023.

Q: What is Blecker MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Blecker MD LLC was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 30, 2023CLIA 10D0902046 · Waiver

229 SEBASTIAN BLVD, SEBASTIAN, FL 32958(772) 581-0016(772) 581-1198 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Blecker Md Llc NPPES

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

BLECKER MD LLC (NPI 1922874916) is a healthcare organization registered as an internal medicine in Sebastian, Florida and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through June 11, 2027, maintains a secondary practice location in Barefoot Bay, and lists Karen P Hayes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922874916

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBLECKER MD LLC

Location Address229 SEBASTIAN BLVDSebastian, FL 32958-4616

Mailing Address14690 Spring Hill Dr Ste 101Spring Hill, FL 34609-8102 · (352) 799-0046 · Fax (352) 799-0042

Phone(772) 581-0016

Fax(772) 581-1198

Organization SubpartNo

Authorized OfficialKaren P HayesCfo · (352) 799-0046

Enumeration DateNovember 30, 2023

NPPES CertifiedNovember 30, 2023

✔ NPI 1922874916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

229 SEBASTIAN BLVD, Sebastian, FL 32958

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Secondary Practice Location 1

Location 17901 Ron Beatty BlvdBarefoot Bay, FL 32976-7450 · Phone (772) 664-8171 · Fax (772) 581-1198

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D0902046

Blecker MD LLC · Sebastian, FL

Active · expires Jun 11, 2027

CLIA Number10D0902046

Laboratory TypePhysician Office

Certificate Effective DateJune 12, 2025

Certificate Expiration DateJune 11, 2027

Laboratory DirectorEdgar R R. Blecker Sr MD

Laboratory Phone(772) 258-4660

Laboratory LocationBlecker MD LLC13090 Us Highway 1, Sebastian, FL 32958

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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.

PAULINA ALEXANDRA BLECKER LMHC

Counselor (Mental Health)

229 SEBASTIAN BLVD, SUITE B
SEBASTIAN, FL 32958

Indian River County (772) 228-1084

BETHANY JOY SILVAS ARNP

Nurse Practitioner (Family)

229 SEBASTIAN BLVD
SEBASTIAN, FL 32958

Indian River County (772) 581-0016

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 Blecker MD LLC's NPI number?

The NPI number for Blecker MD LLC is 1922874916. It was assigned to this organization in the NPPES registry on November 30, 2023.

Where is Blecker MD LLC located?

Blecker MD LLC is located at 229 Sebastian Blvd, Sebastian, FL 32958. The listed phone number is (772) 581-0016.

What is Blecker MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Blecker MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0902046) is associated with this NPI, valid through June 11, 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 Blecker MD LLC was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.