Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Scott Alan Blickensderfer, D.O.
Urology Physician in South Bend, IN · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1578568572
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Dr. Scott Alan Blickensderfer
Credential D.O.
Sex Male
Practice address 6301 University Commons, Ste 350, South Bend, IN, 46635
Phone (574) 234-4100
Fax (574) 282-1739
Enumeration date Jun 16, 2005
Last updated in NPPES Mar 6, 2014
Taxonomy & licenses
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD.
About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000234054 | Other | - | ANTHEM |
| 264180V | Other | IN | MEDICARE PTAN |
| 100093110 | Medicaid | IN | - |
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.
Frequently asked questions
What specialty is Scott Blickensderfer?
Scott Blickensderfer is registered in NPPES with the primary taxonomy of Urology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Donald Smith Specialist · South Bend, IN NPI 1063416931 John Hudak Urology Physician · South Bend, IN NPI 1831194919 Arthur Depauw Urology Physician · South Bend, IN NPI 1548265622 Sibel Toper Pediatrics Physician · South Bend, IN NPI 1831183102 Ziya Toper Pediatrics Physician · South Bend, IN NPI 1245224526 Tracy Byrne Obstetrics & Gynecology Physician · South Bend, IN NPI 1639169733 Daniel Kletzing Otolaryngology Physician · South Bend, IN NPI 1851340590 Jon Chadwell Otolaryngology/Facial Plastic Surgery Physician · South Bend, IN NPI 1255380903
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-03-06.