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

Grant Scott Bludorn, DO

Individual provider Family Medicine Physician · NPI 1265920789

Grant Scott Bludorn, DO is a Family Practice in Ashland, Wisconsin. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2018, 8 years ago. Practices with Memorial Medical Center Inc, a 78-clinician group and accepts Medicare assignment. Licensed in Washington and Wisconsin.

Years since qualifying
8
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
WA, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1615 Maple Ln
Ashland, WI 54806-3626
Phone: (715) 685-5700
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 81388-21 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence OP61177677 (WA)

Record details

NPI number1265920789
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing addressPo Box 34703, Seattle, WA 98124-1703

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2018 (8 years in practice)
Group practice Memorial Medical Center Inc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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