NPIMap

Organization Active NPI

Dean D Blakeley MD PA

  • Internal Medicine Physician
  • Zebulon, NC
National Provider Identifier
1982915369
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0035588 Issued in NC
Legal business name
DEAN D BLAKELEY MD PA
Practice address
323 Hospital Road
Zebulon, NC 27597-2542
Phone
(919) 269-9111
Fax
(919) 269-7630
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Dr. Dean Dewayne Blakeley, MDNPI 1376619783
Title
President/Owner
Phone
(919) 269-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0035588 NC Primary

Addresses

Primary practice location

323 Hospital Road
Zebulon, NC 27597-2542

Mailing address

323 Hospital Road
Zebulon, NC 27597-2542
Phone (919) 269-9111

Other names 1

  • Eastern Wake Internal Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100916000543 NC Part B Supplier - Clinic/Group Practice 0244355097 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC; Zebulon, NC

National Provider Directory

National Provider Directory

Locations

323 Hospital Rd
Zebulon, NC 27597
Phone (919) 269-9111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1982915369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 HOSPITAL ROAD",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972542",
            "telephone_number": "919-269-9111",
            "fax_number": "919-269-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 HOSPITAL ROAD",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972542",
            "telephone_number": "919-269-9111",
            "fax_number": "919-269-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN D BLAKELEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "BLAKELEY",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "919-269-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "0035588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Wake Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastern Wake Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zebulon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.