BROOKS M. BLAKE, DO, PA – NPI #1861660094
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

BROOKS M. BLAKE, DO, PA is a provider located in MARBLE FALLS, TX. NPPES has assigned the NPI number 1861660094 to BROOKS M. BLAKE, DO, PA on February 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 16 years ago on Jul 07, 2010. 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 BROOKS M. BLAKE, DO, PA below.

NPI Profile for
BROOKS M. BLAKE, DO, PA

NPI Number
1861660094
Enumeration Date

(more than 18 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
BROOKS M. BLAKE, DO, PA
Primary location
1009 FALLS PKWY STE B
MARBLE FALLS, TX 78654-4630
Phone: (830) 798-8000 Fax: (830) 798-1076
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BROOKS BLKAKE
OWNER
Phone: (830) 798-8000
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
208D00000X
- General Practice (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.