NPIMap

Individual provider Active NPI

Katherine E Blalock, M.D.

  • General Practice Physician
  • Navasota, TX
National Provider Identifier
1083996177
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
Q0874 Issued in TX
Practice address
1905 Dove Crossing LN Ste a
Navasota, TX 77868-5272
Phone
(936) 825-2929
Fax
(833) 760-3775
NPI assigned
Sep 14, 2011
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q0874 TX
Family Medicine Physician 207Q00000X 0040277 TX
General Practice Physician 208D00000X Q0874 TX Primary

Addresses

Primary practice location

1905 Dove Crossing LN Ste a
Navasota, TX 77868-5272

Mailing address

2900 E 29TH St Ste 100
Bryan, TX 77802-2623
Phone (979) 776-8440

Other practice location 1

2900 E 29th St Ste 200
Bryan, TX 77802-2623
Phone (979) 776-8440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141210000746 TX Practitioner - Family Practice 0547582116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 E 29TH St
Suite 200
Bryan, TX 77802-2623
Phone (979) 776-8440

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0040277TXMDFamily Medicine Physician
Q0874TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center Family Medicine CurrentSince Jul 7, 2015 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Sep 14, 2025 Accepting new patients
Texas a&M University System Health Science Center CurrentSince Jul 7, 2015 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Sep 14, 2025 Accepting new patients
Texas a&M University System Health Science Center Family Medicine CurrentSince Sep 25, 2023 Accepting new patients
Memorial Medical Center Past Accepting new patients
Navasota I Enterprises, L.L.C. Past Accepting new patients

Locations

1301 Memorial Dr
Ste 100
Bryan, TX 77802
Phone (979) 862-4465

2900 E 29th St
Bryan, TX 77802
Phone (979) 436-0700

2900 E 29th St
Ste 100
Bryan, TX 77802
Phone (979) 436-0485

2900 E 29th St
Ste 200
Bryan, TX 77802
Phone (979) 436-0483

8447 John Sharp Pkwy
Bryan, TX 77807
Phone (979) 436-0155

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1905 Dove Crossing Ln
Ste A
Navasota, TX 77868
Phone (936) 825-0755

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: katherine.blalock.1@8042.direct.athenahealth.com
  • Direct secure messaging: kblalock32431@texasamuniversity.gardenplot.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1083996177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022623",
            "telephone_number": "979-776-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 DOVE CROSSING LN STE A",
            "city": "NAVASOTA",
            "state": "TX",
            "postal_code": "778685272",
            "telephone_number": "936-825-2929",
            "fax_number": "833-760-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 E 29th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778022623",
            "country_code": "US",
            "telephone_number": "979-776-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0874",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "0040277",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "Q0874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navasota, TX

Sources for this page

Verify at the official NPI Registry.