NPIMap

Individual provider Active NPI

Keith William Blackman, MD

  • Public Health & General Preventive Medicine Physician
  • River Ridge, LA
National Provider Identifier
1477532885
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
10367R Issued in LA
Practice address
11312 Jefferson Hwy
River Ridge, LA 70123-1709
Phone
(504) 464-0032
Fax
(504) 466-3440
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Parish Hospital Service District 9 clinicians

Practice addresses (Care Compare)

900 Johnson St
Tallulah, LA 71282-4537
Phone 31857423743111

Hospital & facility affiliations

  • Bunkie General Hospital Hospital, Bunkie, LA, CCN 191311
  • Madison Parish Hospital Hospital, Tallulah, LA, CCN 191314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20041202000065 LA Practitioner - Emergency Medicine 7315903366 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10367RLAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess Hospitalist LLC CurrentSince Jul 17, 2018 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Oct 23, 2018 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Jul 17, 2018 Accepting new patients
Concord Medical Group PLLC CurrentSince Dec 13, 2015 Accepting new patients
Oakdale Ess LLC CurrentSince Mar 1, 2015 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 13, 2015 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Oct 23, 2018 Accepting new patients
Healing Health Center of Hammond L.L.C. PastSince Dec 12, 2014 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients

Locations

427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

958 US Highway 64 E
Plymouth, NC 27962
Phone (252) 793-3523

624 W Main St
Yadkinville, NC 27055
Phone (336) 679-2041

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 10367R LA Primary

Addresses

Primary practice location

11312 Jefferson Hwy
River Ridge, LA 70123-1709

Mailing address

PO Box 19988
New Orleans, LA 70179-0988
Phone (504) 464-0032

Other identifiers 1

IdentifierTypeStateIssuer
1679941MedicaidLA

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477532885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19988",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701790988",
            "telephone_number": "504-464-0032",
            "fax_number": "504-466-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 JEFFERSON HWY",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701231709",
            "telephone_number": "504-464-0032",
            "fax_number": "504-466-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "KEITH",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "LA",
            "license": "10367R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679941",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Ridge, LA

Sources for this page

Verify at the official NPI Registry.