Blaze Noble Beecher, MBBS
NPI 1629868153ActiveIndividual· Family Medicine· St Louis Park, MN
Family Medicine (MBBS) in St Louis Park, Minnesota, licensed in MN, with an NPI issued in May 2025. Enrolled in Medicare as order and referring only - family practice.
Overview
| NPI | 1629868153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MBBS |
| Sole proprietor | No |
| NPI issued | May 8, 2025 |
| Last updated in NPPES | Aug 3, 2026 |
| Certified by provider | Aug 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 83435 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Family Practice (MN) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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