Mr. Henry Keiler Bluhm Jr., PA-C
Mr. Henry Keiler Bluhm Jr. is a Medical Physician Assistant provider (Physician Assistant) practicing in Eldon, MO, registered in the NPPES registry with NPI 1104096429 since 2008. Practices at Lake Regional Health System (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104096429 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Henry Keiler Bluhm Jr. |
| Credential | PA-C |
| Sex | Male |
| Practice address | 304A E 4TH ST, Eldon, MO, 65026 |
| Phone | 5735572400 |
| Fax | 5735572401 |
| Enumeration date | 2008-03-03 |
| Last updated in NPPES | 2018-08-29 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Secondary | PA-461 | AR |
| 363AM0700X | Medical Physician Assistant | Secondary | 0110002717 | VA |
| 363AM0700X | Medical Physician Assistant | Primary | 2011035886 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011035886 | Other | MO | STATE LICENSE |
Copy-ready billing details
Provider: Henry Bluhm, PA-C NPI: 1104096429 Taxonomy: 363AM0700X (Medical Physician Assistant) Address: 304A E 4TH ST, Eldon, MO, 65026
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205835303 | Paul Bernabe | Individual | Family Medicine Physician | Eldon, MO |
| 1548205966 | Laura Thompson | Individual | Family Nurse Practitioner | Eldon, MO |
| 1194758011 | Christine Livek | Individual | Family Medicine Physician | Eldon, MO |
| 1053427492 | Lake Regional Health System | Organization | Rural Health Clinic/Center | Eldon, MO |
| 1538499454 | Jeanette Dilan-Koetje | Individual | Internal Medicine Physician | Eldon, MO |
| 1609170018 | Mauricio Pasquale | Individual | Physician Assistant | Eldon, MO |
| 1982943502 | Joseph Meystrik | Individual | Family Nurse Practitioner | Eldon, MO |
| 1639584139 | Rene Revelle | Individual | Family Nurse Practitioner | Eldon, MO |
Verify this record
Cross-check NPI 1104096429 against the authoritative CMS record: view Mr. Henry Keiler Bluhm Jr. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Henry Bluhm practice?
What is the NPI number for Henry Bluhm?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-08-29.