JAMES PHILLIP BLAKELY M.D. NPI 1962499152

NPI Information

  • NPI: 1962499152
  • Provider Name: JAMES PHILLIP BLAKELY, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 529 N GALLOWAY AVE
    SUITE 16
    MESQUITE, TX
    ZIP 75149
  • Phone: (972) 216-4411

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NPI Details

James Phillip Blakely, M.D. is a diagnostic radiology radiology in Mesquite, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. James Phillip Blakely, M.D. NPI is 1962499152. 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:

529 N GALLOWAY AVE
SUITE 16
MESQUITE, TX
ZIP 75149-420
Phone: (972) 216-4411
Fax: (972) 216-0533

The NPI 1962499152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 7/24/2008.

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
12085R0202XRadiologyDiagnostic RadiologyE9544TEXASYes

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
18G2805OTHERTEXASBC BS TEXAS
2B011OTHERTEXASCHAMPUS
3300126786OTHERTEXASRAILROAD MEDICARE
4C13520MEDICARE UPINTEXAS
588110HMEDICARE ID-TYPE UNSPECIFIEDTEXAS
6116861904MEDICAIDTEXAS

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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