DAVID CORLEY BLEASE PA-C NPI 1225057086

NPI Information

  • NPI: 1225057086
  • Provider Name: DAVID CORLEY BLEASE, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9313 MEDICAL PLAZA DR
    SUITE 304
    NORTH CHARLESTON, SC
    ZIP 29406
  • Phone: (843) 553-5616

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NPI Details

David Corley Blease, PA-C is a surgical physician assistant in North Charleston, SC with 23 years of experience. David Corley Blease, PA-C NPI is 1225057086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9313 MEDICAL PLAZA DR
SUITE 304
NORTH CHARLESTON, SC
ZIP 29406-155
Phone: (843) 553-5616
Fax: (843) 764-2917

The NPI 1225057086 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Harvest of vein using an endoscope (HCPCS:33508)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exclusion of appendage of left upper chamber of heart performed during other procedure on chest (HCPCS:33268)
  • Coronary artery bypass using vein or artery graft, 2 grafts (HCPCS:33518)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Coronary artery bypass using vein or artery graft, 3 grafts (HCPCS:33519)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/19/2006 and was last updated on 2/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantA875SOUTH CAROLINANo
2363AS0400XPhysician AssistantSurgicalA875SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10378PAMEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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