Dr Ryan Fredric Bloomquist, MD,PHD,DMD,MBA,MPH is a
Internal Medicine based in Augusta, Georgia. Dr Ryan Fredric Bloomquist is licensed to practice in Georgia (license number 17782) and his current practice location is
1120 15th St, Augusta, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 721-2371.
NPI number for Dr Ryan Fredric Bloomquist is 1659893857 and his current mailing address is 1120 15th St, Augusta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659893857.
Healthcare Provider's Profile
| Full Name | Dr Ryan Fredric Bloomquist |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1120 15th St, Augusta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659893857
- Provider Enumeration Date: 07/10/2017
- Last Update Date: 06/24/2025
Medical Identifiers
Medical identifiers for Dr Ryan Fredric Bloomquist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659893857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN015571 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 17782 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ryan Fredric Bloomquist is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ryan Fredric Bloomquist, MD,PHD,DMD,MBA,MPH
1120 15th St,
Augusta, GA 30912-0001
Ph: (706) 721-2371 | Dr Ryan Fredric Bloomquist, MD,PHD,DMD,MBA,MPH
1120 15th St,
Augusta, GA 30912-0001
Ph: (706) 721-2371 |
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