Bruce Gragg Blackstone
M.D. | Orthopedic Surgery
625 9th Ave, Suite 210, Longview
Washington, 98632-2465
360-501-3400 360-423-6862
Maps & DirectionsBruce Gragg Blackstone is a Longview, Washington based orthopedic surgeon who is specialized in Orthopedic Surgery. Active license number of Bruce Gragg Blackstone is MD00020762 for Orthopedic Surgery in Washington.
Bruce Gragg Blackstone is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Bruce Gragg Blackstone speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Orthopedic Surgery |
| Credentials: | M.D. |
| Gender: | Male |
| Practice Address: | 625 9th Ave, Suite 210, Longview,
Washington, 98632-2465 |
| Phone: | 360-501-3400 |
| Fax: | 360-423-6862 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1891760211 |
| NPI Enumeration Date: | 20 Feb, 2006 |
| NPI Last Update On: | 22 Sep, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bruce Gragg Blackstone are as mentioned below.
| License Number | Specialization | State | Status | |
| MD00020762 | Orthopedic Surgery | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Bruce Gragg Blackstone such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1131101 | Medicaid | Washington | |
| 195560 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 625 9th Ave, Suite 210
Longview, Washington |
| Zip: | 98632-2465 |
| Phone Number: | 360-501-3400 |
| Fax Number: | 360-423-6862 |
Patients can reach Bruce Gragg Blackstone at
625 9th Ave, Suite 210, Longview, Washington or can
call to book an appointment on 360-501-3400.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.