Blocker Preventive Medicine PLLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

BLOCKER PREVENTIVE MEDICINE PLLC

Practice address

6100 Harris Pkwy Ste 250
Fort Worth, TX 76132-4132

Phone

(817) 433-1430

NPI assigned

May 16, 2025

Organization subpart

No

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

Authorized official

Name

David E Blocker, MD, MPHNPI 1265428700

Title

Owner

Phone

(682) 200-9352

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Edward Blocker, MD, MPH

  • Internal Medicine Physician
  • Granbury, TX
  • NPI 1265428700

  Aerospace Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Nickki Dawn Walter, APRN-CNP, FNP-BC

  • Family Nurse Practitioner
  • Stephenville, TX
  • NPI 1730868191
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1649061706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760488087",
            "telephone_number": "682-200-9352",
            "fax_number": "866-271-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY STE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324132",
            "telephone_number": "817-433-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Blue Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760871731",
            "country_code": "US",
            "telephone_number": "692-200-9352",
            "fax_number": "866-271-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOCKER PREVENTIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "BLOCKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-200-9352",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessed Home Health Care Inc
• Blessed Touch Home Health Agency Inc
• Blessings Hospice LLC (Klarus Hospice)
• Blink Eye Associates, PLLC
• Mary Anna Bliss, CRNA
• Candice Lorraine Blocker, OTR, CLT
• Mette Jane Adams Blockhan, O.T.
• Duffy Bloemendal, OTR
• Lee Charles Bloemendal, MD
• Lee Scott Bloemendal, MD

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.