Active NPI
Blake V Chamberlain, M.D.
- Emergency Medicine Physician
- Webster, TX
National Provider Identifier
1669457404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- J8218
- Practice address
- 500 Medical Center Blvd
Webster, TX 77598-4220 - Phone
- (281) 338-3110
- Fax
- (281) 338-3352
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | J8218 | TX | Primary |
Addresses
Primary practice location
500 Medical Center Blvd
Webster, TX 77598-4220
Mailing address
PO Box 200993
Houston, TX 77216-0993
Phone (281) 784-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G7964 | Other | TX | BCBSTX PROV NO |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8218 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones ER Physicians Staffing Inc | Emergency Medicine | Current | Accepting new patients |
| Bay Area Emergency Partners | Emergency Medicine | Current | Accepting new patients |
| Harbor Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Space City Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Greater Houston Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
17030 Northwest Fwy
Jersey Village, TX 77040
Phone (832) 232-0600
3725 E League City Pkwy
League City, TX 77573
Phone (281) 549-7032
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Lake Jackson, TX
- NPI 1093032963
-
- Emergency Medicine Physician
- League City, TX
- NPI 1801390380
-
- Emergency Medicine Physician
- Jersey Village, TX
- NPI 1861053738
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1316363336
-
- Emergency Medicine Physician
- Webster, TX
- NPI 1629258777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1669457404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200993",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772160993",
"telephone_number": "281-784-1111",
"fax_number": "281-784-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MEDICAL CENTER BLVD",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984220",
"telephone_number": "281-338-3110",
"fax_number": "281-338-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "BLAKE",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J8218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX PROV NO",
"identifier": "8G7964",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
- Cenikor Foundation (Care Counseling Webster)
- Center for Hypertension & Kidney Care PA
- Center of Reproductive Medicine
- Center of Reproductive Medicine, LLP
- Cesar Nahas MD PA
- Chambers County Public Hospital District No 1 (Avir at Webster)
- Courtney Champagne, FNP-C
- Siddardha Chandrupatla, DDS MMSC
- Katisha Chaney
- Charlie Chih Lee Chang, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.