NPIMap

Individual provider Active NPI

Blake Dalbert Christensen, D.O.

  • Interventional Pain Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1841425477
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
4887 Issued in OK
Practice address
14000 N Portland Ave Ste 101
Oklahoma City, OK 73134-4004
Phone
(405) 751-0011
Fax
(405) 751-7246
NPI assigned
May 27, 2009
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036.135761 IL
Anesthesiology Physician 207L00000X 4887 OK
Interventional Pain Medicine Physician 208VP0014X 4887 OK Primary

Addresses

Primary practice location

14000 N Portland Ave Ste 101
Oklahoma City, OK 73134-4004

Mailing address

PO Box 514
Norman, OK 73070-0514
Phone (405) 751-0011

Other identifiers 1

IdentifierTypeStateIssuer
200326560AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20111019000259 OK Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - General PracticePractitioner - Family Practice 3779755632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Oklahoma State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BDC Medical, PLLCGroup PAC ID 8325330798, 6 clinicians

Practice addresses (Care Compare)

13601 W Memorial Park Dr
Suite 200
Oklahoma City, OK 73120-8355
Phone (405) 751-0011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.135761ILMDAnesthesiology Physician
4887OKMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BDC Medical PLLC Anesthesiology CurrentSince May 15, 2016 Accepting new patients
BDC Medical PLLC Interventional Pain Medicine CurrentSince Sep 14, 2015 Accepting new patients
Oklahoma Spine Surgery Center Current Accepting new patients
Grady Memorial Hospital CurrentSince Aug 1, 2019 Accepting new patients
Grady Memorial Hospital Anesthesiology Current Accepting new patients
Grady Memorial Hospital CurrentSince Aug 1, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Interventional Pain Medicine Past Accepting new patients
Fastcare Medical Clinic of Edmond Past Accepting new patients
BDC Medical PLLC Anesthesiology Past Accepting new patients
Summit Medical Center Interventional Pain Medicine Past Accepting new patients
Fastcare Medical Clinic of del City Past Accepting new patients

Locations

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2596 W Tecumseh Rd
Ste 116
Norman, OK 73069

3101 W Tecumseh Rd
Ste 102
Norman, OK 73072
Phone (405) 310-4949

13313 N Meridian Ave
Ste B
Oklahoma City, OK 73120
Phone (405) 755-4140

13601 W Memorial Park Dr
Ste 200
Oklahoma City, OK 73120
Phone (405) 862-7850

14000 N Portland Ave
Ste 101
Oklahoma City, OK 73134
Phone (405) 521-0041

14100 Parkway Commons Dr
Ste 100
Oklahoma City, OK 73134
Phone (405) 242-4720

3200 Quail Springs Pkwy
Ste 100
Oklahoma City, OK 73134
Phone (405) 418-5400

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134
Phone (405) 241-3539

1491 Health Center Pkwy
Yukon, OK 73099
Phone (405) 806-2200

Interoperability endpoints

  • Direct secure messaging: blake.christensen@3023.securemail.prognocis.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1841425477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730700514",
            "telephone_number": "405-751-0011",
            "fax_number": "405-751-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 N PORTLAND AVE STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344004",
            "telephone_number": "405-751-0011",
            "fax_number": "405-751-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "BLAKE",
        "middle_name": "DALBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.135761",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "4887",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": "4887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326560A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.