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DR. CARSON CURTIS BLAKE M.D. NPI 1932194784


NPI Information

NPI: 1932194784
Provider Name: DR. CARSON CURTIS BLAKE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
305 N. MAIN
ENNIS, MT
ZIP 59729
Phone: (406) 682-6862
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DR. Carson Curtis Blake, M.D. is a family medicine in Ennis, MT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Carson Curtis Blake, M.D. NPI is 1932194784. 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:

305 N. MAIN
ENNIS, MT
ZIP 59729
Phone: (406) 682-6862

The enumeration date for this NPI number is 9/19/2005 and was last updated on 5/23/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine7066MONTANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C13518MEDICARE UPINMONTANA
20042109MEDICAIDMONTANA
3000082366MEDICARE ID-TYPE UNSPECIFIEDMONTANAMC GROUP PROVIDER NUMBER
4000082367MEDICARE ID-TYPE UNSPECIFIEDMONTANAMC INDIVIDUAL PROVIDER #

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: 4/28/2024

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