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

Individual provider Family Medicine Physician · NPI 1619923810

Dr. Bradley S. Blankenship, MD is a Family Practice in Modesto, California. Graduated from Saint Louis University School of Medicine in 1991, 35 years ago. Practices with Shane Speirs MD PC, a 13-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
35
Trained at
Saint Louis University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1541 Florida Ave Ste 200
Modesto, CA 95350-4438
Phone: (209) 577-3388
Fax: (209) 575-3085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G75672 (CA)

Record details

NPI number1619923810
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Shane Speirs Md Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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