| Kristi Blomberg, MD | |
|
1601 Nw 114th St, Clive, IA 50325-7007 | |
| (515) 222-7000 | |
| (515) 222-2737 |
| Full Name | Kristi Blomberg |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1601 Nw 114th St, Clive, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750392809 | NPI | - | NPPES |
| 0131763 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29464 (Iowa) | Primary |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Blomberg, MD Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 222-7000 | Kristi Blomberg, MD 1601 Nw 114th St, Clive, IA 50325-7007 Ph: (515) 222-7000 |
Stephen Eckstat, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 Nw 114th St, Clive, IA 50325 Phone: 515-222-7000 Fax: 515-222-7037 | |
Dr. Daniel Charles Miller, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12871 University Ave, Suite 130, Clive, IA 50325 Phone: 515-222-4419 Fax: 515-222-6965 | |
Randall Miller, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw 114th St, Clive, IA 50325 Phone: 515-222-7000 Fax: 515-222-2737 | |
Lon Russell Brewer, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1924 Nw 88th Ct, Clive, IA 50325 Phone: 515-237-3974 Fax: 515-883-2692 | |
Erin Netteland-sandvig, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Nw 114th St, Clive, IA 50325 Phone: 515-222-7000 Fax: 515-222-7037 | |
Robert D Conner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13435 University Ave, Suite 500, Clive, IA 50325 Phone: 515-255-7132 Fax: 515-218-1500 | |
Dr. Steven J. Humphrey, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14961 Woodcreek Ln, Clive, IA 50325 Phone: 515-865-4501 |