Pablo Valle-Blacio, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

20476 Issued in AL

Practice address

1010 Christine Ave
Anniston, AL 36207-5782

Phone

(256) 236-5631

NPI assigned

Jan 11, 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 AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pablovalle-blacio@annmc.allscriptsdirect.net

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.

• Anniston Medical Clinic PC

  • Internal Medicine Physician
  • Anniston, AL
  • NPI 1619080017
  Medicare reassignment NPD
• Open MRI of Oxford LLC

  • Radiology Clinic/Center
  • Oxford, AL
  • NPI 1972616555
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1568441335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1528",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36202",
            "telephone_number": "256-235-0717",
            "fax_number": "256-235-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075782",
            "telephone_number": "256-236-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE-BLACIO",
        "first_name": "PABLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "20476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000979",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urologic Health of Eastern Alabama, P.C.
• Charles K Urquhart, MD
• John Usrey, LPC, BSW
• John F Valente, M.D.
• Maurice Daniele Valentini, O.D.
• Andrea Van Akin, BCBA, LBA
• Joshua Wayne Vander Windt, PT
• Kenneth Luckie Vandervoort, MD
• Christine Vanek
• Pratibha Sonam Vashista, D.O.

• Neurology Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Neurology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.