IndividualActive
Mark Bladergroen, M.D.
NPI 1124058342 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Richmond, VA
Provider details
- NPI number
- 1124058342
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101042193 (VA)
Specialties & taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianPrimary208G00000XLicense 0101042193 (VA)
Allopathic & Osteopathic Physicians
Practice location
5875 Bremo Rd
Suite G-5
Richmond, VA 23226-1934
Phone: (804) 287-7840
Fax: (804) 287-7845
Approximate (ZIP-level) locationGet directions
Mailing address
5875 Bremo Rd
Richmond, VA 23226-1934
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.