LEE CHARLES BLOEMENDAL MD
NPI 1952326787
Surgery in Fort Worth, TX

Active since July 13, 2006
1325 PENNSYLVANIA AVE, SUITE 720, FORT WORTH, TX 76104(817) 336-7305(817) 336-8941 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lee Charles Bloemendal Md NPPES

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

LEE CHARLES BLOEMENDAL MD (NPI 1952326787) is an individual surgery provider in Fort Worth, Texas, licensed in Texas (D5919) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1952326787
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameLEE CHARLES BLOEMENDALCredential: MD
Location Address1325 PENNSYLVANIA AVE, SUITE 720Fort Worth, TX 76104-2144
Mailing AddressPo Box 961205Fort Worth, TX 76161-1205 · (817) 740-8400 · Fax (817) 336-8941
Fax(817) 336-8941
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateOctober 4, 2011
NPI 1952326787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · D5919
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1325 PENNSYLVANIA AVE, Fort Worth, TX 76104

Other Identifiers 2

Medicaid032314902TX
Other020054578Railroad Medicare

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.

Surgery
1325 PENNSYLVANIA AVE, SUITE 777
FORT WORTH, TX 76104
Internal Medicine (Infectious Disease)
1325 PENNSYLVANIA AVE, STE. 325
FORT WORTH, TX 76104
Nurse Practitioner
1325 PENNSYLVANIA AVE, #550
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1325 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Surgery
1325 PENNSYLVANIA AVE, SUITE 200
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1325 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Genetic Counselor, MS
1325 PENNSYLVANIA AVE, SUITE 600
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal, Critical Care)
1325 PENNSYLVANIA AVE, SUITE 740
FORT WORTH, TX 76104

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 Lee Bloemendal's NPI number?

The NPI number for Lee Bloemendal is 1952326787. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Lee Bloemendal located?

Lee Bloemendal practices at 1325 Pennsylvania Ave Suite 720, Fort Worth, TX 76104. The listed phone number is (817) 336-7305.

What is Lee Bloemendal's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Lee Bloemendal was last updated on October 4, 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.