DR. CHARLES ADAMS BLAKELY M.D. NPI 1427119502

NPI Information

  • NPI: 1427119502
  • Provider Name: DR. CHARLES ADAMS BLAKELY, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: FORT DEFIANCE INDIAN HOSPITAL
    CORNER ROUTE N7 AND N12
    FORT DEFIANCE, AZ
    ZIP 86504
  • Phone: (928) 729-8600

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NPI Details

DR. Charles Adams Blakely, M.D. is an emergency medicine in Fort Defiance, AZ. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Charles Adams Blakely, M.D. NPI is 1427119502. 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:

FORT DEFIANCE INDIAN HOSPITAL
CORNER ROUTE N7 AND N12
FORT DEFIANCE, AZ
ZIP 86504
Phone: (928) 729-8600

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.

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
1207P00000XEmergency Medicine22395COLORADOYes

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
1000R4843OTHERNEW MEXICONM MED
2638679OTHERARIZONAAHCCCS
3D24091MEDICARE UPIN

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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