Robert Blackmon, M.D.

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

30420 Issued in NE

Practice address

2050 Barb St
Silverdale, WA 98315

Phone

(360) 315-4391

NPI assigned

Jun 16, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Branch Medical Clinic Bangor

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Silverdale, WA
  • NPI 1932302262
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1851772891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BURWELL ST APT 201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 BARB ST",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98315",
            "telephone_number": "360-315-4391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Barb St",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "98315",
            "country_code": "US",
            "telephone_number": "360-315-4391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NE",
            "license": "30420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simren Kaur Bhogal
• Rick Samuel Bialock, MA, CDP
• Bigfoot Podiatry, PLLC
• Stanley James Bigos, M.D.
• Mindy Blackburn
• Anne Elizabeth Blankenheim, PA-C
• Lori Blankenship
• Juliet Rohan Bliss, D.O.
• Julianne Blocher
• Blue Horizon Medical Alternatives

• Military Health Care Provider in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Military Health Care Provider in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.