=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699630681
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LAURA MURPHY BLEEKRODE, MD, PC/ DBA ALPHARETTA PEDIATRICS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2025
-----------------------------------------------------
Last Update Date | 12/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3480 PRESTON RIDGE RD STE 100
-----------------------------------------------------
City | ALPHARETTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30005-2054
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-664-4430
-----------------------------------------------------
Fax | 770-664-7836
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3480 PRESTON RIDGE RD STE 100
-----------------------------------------------------
City | ALPHARETTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30005-2054
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-664-4430
-----------------------------------------------------
Fax | 770-664-7836
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO / PHYSICIAN
-----------------------------------------------------
Name | DR. LAURA MURPHY BLEEKRODE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 770-664-4430
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------