Individual provider Active NPI

Alexander Drake Blevens, M.D.

  • Orthopaedic Hand Surgery Physician
  • Ocean Springs, MS
National Provider Identifier
1508890765
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
14536 Issued in MS
Practice address
3635 Bienville Blvd
Ocean Springs, MS 39564-5711
Phone
(228) 875-1849
Fax
(228) 875-6257
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14536MSMDOrthopaedic Hand Surgery Physician

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 14536 MS
Orthopaedic Hand Surgery Physician 207XS0106X 14536 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

3635 Bienville Blvd
Ocean Springs, MS 39564-5711

Mailing address

3635 Bienville Blvd
Ocean Springs, MS 39564-5711
Phone (228) 875-1849

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00117064MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508890765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645711",
            "telephone_number": "228-875-1849",
            "fax_number": "228-875-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645711",
            "telephone_number": "228-875-1849",
            "fax_number": "228-875-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVENS",
        "first_name": "ALEXANDER",
        "middle_name": "DRAKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "14536",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MS",
            "license": "14536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117064",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.