GERALD BLAKE, MD – NPI #1629287578
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Health Care Provider Taxonomy Code for Internal Medicine

GERALD BLAKE, MD is a provider located in SAN BERNARDINO, CA. NPPES has assigned the NPI number 1629287578 to GERALD BLAKE, MD on May 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GERALD BLAKE, MD below.

NPI Profile for
GERALD BLAKE, MD

NPI Number
1629287578
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GERALD BLAKE, MD
Primary location
1738 NORTH D STREET
SAN BERNARDINO, CA 92405
Phone: (909) 882-3962 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GERALD BLAKE
MD
Phone: (909) 882-3962
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.