David L. Blackburn, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

H7903 Issued in TX

Practice address

1020 Hwy 16 S
Fredericksburg, TX 78624-4471

Phone

(830) 249-1827

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.46 of 100Reported as group

Quality

92.48

Improvement activities

40

Cost

72.99

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dblackburn66897@shannonhealth.direct-ci.com

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

• Victoria Emergency Associates LLC

  • Emergency Medicine Physician
  • Victoria, TX
  • NPI 1407917164
  Medicare reassignment NPD
• Victoria Emergency Partners LLC

  • Emergency Medicine Physician
  • Gonzales, TX
  • NPI 1164770996
  Medicare reassignment NPD
• Victoria Hospitalist Associates, LLC

  • Hospitalist Physician
  • Tulsa, OK
  • NPI 1023236825

  TX

  Medicare reassignment NPD
• Gillespie Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Fredericksburg, TX
  • NPI 1194700377
  NPD (past)
• Hondo Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Hondo, TX
  • NPI 1659383685
  NPD (past)
• South Texas Hospitalist Associates LLC

  • Hospitalist Physician
  • Uvalde, TX
  • NPI 1790045664
  NPD (past)
• Texas Emergency Room Services, PA

  • Emergency Medicine Physician
  • Hondo, TX
  • NPI 1275584781
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1316905946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE # 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HWY 16 S",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244471",
            "telephone_number": "830-249-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "DAVID",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H7903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136516516",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Beicker, PA
• Clint Royal Beicker, M.D.
• Erika Broslat Benfield, FNP-C
• Herman Leonard Bentch, M.D.
• Billingsgate L.P.
• Shelly Blaker, O.D.
• Brook Elizabeth Bodenhamer, LCSW, LCDC
• Derrick Joseph Borecky, MD
• Bill Edward Borron, RPH
• Bourquein LLC

• Emergency Medicine Physician in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.