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

Dr. Nicholas Alexander Blumenberg, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376245209

Dr. Nicholas Alexander Blumenberg, MD is a Student in an Organized Health Care Education/Training Program in Pontiac, Michigan. Licensed in Florida and Michigan. Registered with an NPI since 2023.

Licensed in
FL, MI
In the registry since
2023
Specialties on file
2
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

50 N Perry St
Pontiac, MI 48342-2217
Phone: (248) 338-5392
Fax: (248) 338-5567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351053066 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TRN36688 (FL)

Record details

NPI number1376245209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESJuly 4, 2024
Certification dateJuly 4, 2024

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