James Phillip Blakely, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

E9544 Issued in TX

Practice address

529 N Galloway Ave
Suite 16
Mesquite, TX 75149-3420

Phone

(972) 216-4411

Fax

(972) 216-0533

NPI assigned

Oct 3, 2005

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Southwest Imaging and Interventional Specialists, P.a.

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1063461598
  NPD (past)
• Wellmart Heartlab Inc

  • Radiology Clinic/Center
  • Irving, TX
  • NPI 1245456219
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1962499152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180065",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752180065",
            "telephone_number": "972-216-4411",
            "fax_number": "972-216-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N GALLOWAY AVE",
            "address_2": "SUITE 16",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493420",
            "telephone_number": "972-216-4411",
            "fax_number": "972-216-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "JAMES",
        "middle_name": "PHILLIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E9544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300126786",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS TEXAS",
            "identifier": "8G2805",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "B011",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116861904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Birau, DPM
• Dekota Bisor
• BJS Wholesale Club Inc
• Kimberly Blair, MS, CCC-SLP
• Tonya Blair
• Brittani Blankenship
• Brenai Blanton, LCSW
• Blessed Hands Cleaning & Private Sitting LLC
• Sonya Vernice Blocker, CRNA
• BMB Associates LLC

• Diagnostic Radiology Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.