IndividualActive
Bobby Blum, ANP-C
NPI 1235403643 · Adult Health Nurse Practitioner · Greenville, IL
Provider details
- NPI number
- 1235403643
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 209010152 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Health Care Dr
Greenville, IL 62246-1154
Phone: (618) 664-1230
Street-level locationGet directions
Mailing address
4550 Memorial Dr
Belleville, IL 62226-5372
Additional practice locations (1)
- 4550 Memorial DrSte. 340Belleville, IL 62226-5372Phone: (618) 257-6200Fax: (618) 257-6679
Registry dates
- Enumerated
- 2012-03-02
- Last updated
- 2019-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.