Organization
BENNETT BLUM, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNETT BLUM M.D. (PRESIDENT)
(520) 750-8868
Entity
Organization
Contact information
Practice address
5150 E BROADWAY BLVD, #1600, TUCSON, AZ 85711-3762
(520) 750-8868
Mailing address
5425 E BROADWAY BLVD, PMB #358, TUCSON, AZ 85711-3704
(520) 750-8868
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
27112
AZ
2084F0202X
Forensic Psychiatry Physician
27112
AZ
2084F0202X
Forensic Psychiatry Physician
Primary
G72139
CA
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
27112
AZ
2084P0015X
Psychosomatic Medicine Physician
27112
AZ
2084P0800X
Psychiatry Physician
27112
AZ
2084P0802X
Addiction Psychiatry Physician
27112
AZ
2084P0805X
Geriatric Psychiatry Physician
27112
AZ
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
27112
AZ
208D00000X
General Practice Physician
27112
AZ
208VP0000X
Pain Medicine Physician
27112
AZ
209800000X
Legal Medicine (M.D./D.O.) Physician
27112
AZ
Other
Enumeration date
05/01/2007
Last updated
09/11/2025
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