Bryan Blake, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: August 26, 2005

Quick Facts

NPI Number
1316930118
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(770) 948-5400
StateGA

NPI Validation Status: Verified

Valid 10-digit NPI number (1316930118)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 26, 2005)
Data source: CMS NPPES

Provider Overview

BRYAN BLAKE, MD is a Family Medicine provider based in Lithia Springs, GA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1316930118
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateAugust 26, 2005

Practice Location

CityLithia Springs
StateGA
ZIP Code30122-2634
Phone(770) 948-5400

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateGA

Mailing Address

CityLithia Springs
StateGA
ZIP Code30122-2634
Phone(770) 948-5400
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1316930118 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1316930118for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1316930118 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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People Also Ask

What is Bryan Blake's NPI number?
Bryan Blake's NPI number is 1316930118, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Bryan Blake's NPI currently active?
Yes, Bryan Blake's NPI status is Active as of the latest CMS NPPES database updates.
What does Bryan Blake specialize in?
Bryan Blake specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Bryan Blake practice?
Bryan Blake practices in Lithia Springs, GA 30122-2634.
When was Bryan Blake's NPI issued?
Bryan Blake's NPI was issued on August 26, 2005.
What is Bryan Blake's provider type?
Bryan Blake is registered as an Individual Provider under CMS NPI Type 1.