Active NPI
Brooks M. Blake, DO, PA
- General Practice Physician
- Marble Falls, TX
National Provider Identifier
1861660094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- BROOKS M. BLAKE, DO, PA
- Practice address
- 1009 Falls Pkwy Ste B
Marble Falls, TX 78654-4630 - Phone
- (830) 798-8000
- Fax
- (830) 798-1076
- NPI assigned
- Feb 11, 2008
- Last updated
- Jul 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooks M Blkake, DO
- Title
- Owner
- Phone
- (830) 798-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
1009 Falls Pkwy Ste B
Marble Falls, TX 78654-4630
Mailing address
1009 Falls Pkwy Ste B
Marble Falls, TX 78654-4630
Phone (830) 798-8000
National Provider Directory
National Provider DirectoryLocations
1009 Falls Pkwy
Ste B
Marble Falls, TX 78654
Phone (830) 798-8000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Marble Falls, TX
- NPI 1164435236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278460800000",
"number": "1861660094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 FALLS PKWY STE B",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786544630",
"telephone_number": "830-798-8000",
"fax_number": "830-798-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 FALLS PKWY STE B",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786544630",
"telephone_number": "830-798-8000",
"fax_number": "830-798-1076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS M. BLAKE, DO, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"last_updated": "2010-07-07",
"status": "A",
"authorized_official_last_name": "BLKAKE",
"authorized_official_first_name": "BROOKS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "830-798-8000",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marble Falls, TX
- Brooke Rockafellow Breedlove, MSN, RN, CPNP-PC
- Bright Smiles Dental III, PC (Bright Smiles Family Dentistry)
- Bright Smiles Family Dentistry Center PLLC
- Brittco Management LLC (Visiting Angels - Highland Lakes)
- Bryan Scott Brockman, MD
- Judith Ngozi Brown, D.O
- Robert Alton Browning, CRNA
- Sara K Browning, CRNA
- Hannah Bruggeman, MCN, RD, LD
- Stefan Cosmin Buca, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.