Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
BRENDA K BLACKHAM
Active
Individual
BRENDA K BLACKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
90183338-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005709102
IHC
UT
05
—
1189492500
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
305404
DESERET MUTUAL
UT
01
—
6761
HEALTHY U
UT
01
—
73606
PEHP
UT
05
—
824723
—
AZ
01
—
870545614BL3
EDUCATORS MUTUAL
UT
01
—
PRA06458
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
08/31/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers