DR. BRADLEY KEVIN BLOEMKER (M.D., PH.D.) – Obstetrics & Gynecology Physician, NPI 1295722387
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 OBSTETRICS/GYNECOLOGY in MN
Provider Addresses for DR. BRADLEY KEVIN BLOEMKER (M.D., PH.D.)
300 S Bruce St
Marshall, MN 562581934
Phone: (507) 537-9007
Fax: (507) 537-2730
Type: Location
Avera Marshall Regional Medical Center, 300, South Bruce Street, Marshall, Lyon County, Minnesota, 56283, United States
MARSHALL, MN 562581934
Phone: (507) 537-9007
Fax: (507) 537-2730
Type: Mailing
347 SMITH AVE N STE 203
SAINT PAUL, MN 551022388
Phone: (651) 241-7733
Fax: (651) 241-7798
Type: Location
1000 N Oak Ave
Marshfield, WI 544495703
Phone: (715) 387-5511
Type: Location
PO BOX 43
MINNEAPOLIS, MN 554400043
Phone: (612) 262-1166
Fax: (612) 262-4255
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Astellas Pharma US Inc ($62).
Total Amount
$62
General + Research + Ownership
Payments
2
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $62 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050729000191 | I | Obstetrics/Gynecology | MO | TBD |
| I20140618001796 | I | Obstetrics/Gynecology | MN | TBD |
| I20250113002862 | I | Obstetrics/Gynecology | KS | TBD |
| I20251203000062 | I | Obstetrics/Gynecology | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56258)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| P O D I A T R Y | MO | |
| - | KS | |
| Nurse Practitioner | MO | |
| O P H T H A L M O L O G Y | MO |
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