DR. CALVIN JAMAL BLOCKER MD MBA NPI 1659959955

NPI Information

  • NPI: 1659959955
  • Provider Name: DR. CALVIN JAMAL BLOCKER, MD, MBA
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 120 WILLIAM PENN PLZ
    DURHAM, NC
    ZIP 27704
  • Phone: (919) 220-5255

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NPI Details

DR. Calvin Jamal Blocker, MD, MBA is a student in an organized health care education training program in Durham, NC with 5 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Calvin Jamal Blocker, MD, MBA NPI is 1659959955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

120 WILLIAM PENN PLZ
DURHAM, NC
ZIP 27704-150
Phone: (919) 220-5255

The NPI 1659959955 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 enumeration date for this NPI number is 3/30/2021 and was last updated on 5/27/2025.

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
1208100000XPhysical Medicine & Rehabilitation2025-01529NORTH CAROLINANo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

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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