Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Benjamin David Blossom, MD

Individual provider Cardiovascular Disease Physician · NPI 1477648087

Dr. Benjamin David Blossom, MD is an Interventional Cardiology in Tupelo, Mississippi. Graduated from University of Mississippi School of Medicine in 2003, 23 years ago. Practices with North Mississippi Clinics LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
23
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

499 Gloster Creek Vlg Ste A-2
Tupelo, MS 38801-4600
Phone: (662) 620-6992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 19111 (MS)

Record details

NPI number1477648087
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJune 28, 2011
Mailing address499 Gloster Creek Vlg Ste A2, Cardiology Associates Of North Ms, Tupelo, MS 38801-4749

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice North Mississippi Clinics Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tupelo