DR. BRIAN KELLY BLAKE (NPI# 1952578064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952578064 |
| Entity Type | Individual |
| Full Name | DR. BRIAN KELLY BLAKE |
| Credential | D.O. |
| Practice Address |
1717 Main St Suite 5200 Dallas TX 75201-4612 |
| Practice Telephone | 8003622731 |
| Practice Fax Number | 2147122444 |
| Mailing Telephone | 8003622731 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | N9813 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891819405 | Brian Eugene Blake | Internal Medicine | 7916 E Commercial St, Broken Arrow, OK 74014-2683 | 2007-03-19 |
| 1295078608 | Brian William Blake | Emergency Medicine | 290 N Wayte Ln # 1800, Fresno, CA 93701-2124 | 2013-04-03 |
| 1124278668 | Brian J Blake | Orthopaedic Surgery | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2008-09-20 |
| Street Address |
1717 MAIN ST SUITE 5200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75201-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989348 | John Randall Lunde | Nurse Practitioner | 1717 Main St, Suite 5200, Dallas, TX 75201-4605 | 2005-08-12 |
| 1093085045 | Texas Em-1 Medical Services Pa | Nurse Practitioner | 1717 Main St, Suite#5200, Dallas, TX 75201-4612 | 2012-01-09 |
| 1497059034 | Blair Nicole Rose | Physician Assistant | 1717 Main St, 5200, Dallas, TX 75201-4612 | 2010-12-22 |
| 1871822353 | Jeremy Belschner | Nurse Practitioner | 1717 Main St, Suite 5200, Dallas, TX 75201-4612 | 2009-12-14 |
| 1265664601 | Ac Provider Services of Florida LLC | Anesthesiology | 1717 Main St, 5200, Dallas, TX 75201-4612 | 2009-08-19 |
| 1548494396 | Fox Creek Inpatient Services | Internal Medicine | 1717 Main St, Suite 5200, Dallas, TX 75201-4612 | 2009-05-08 |
| 1821284985 | Emcare Physician Providers Inc | Emergency Medicine | 1717 Main St, 5200, Dallas, TX 75201-4612 | 2007-09-21 |
| 1841490034 | Texas Em-i Medical Services, PC | Emergency Medicine | 1717 Main St, 5200, Dallas, TX 75201-4612 | 2007-07-25 |
| 1144421421 | Garry Francis Gagnon | Emergency Medicine | 1717 Main St, Suite 5200, Dallas, TX 75201-4612 | 2007-05-31 |
| 1821299108 | Justin N. Fleishman | Emergency Medicine | 1717 Main St, Suite 5200, Dallas, TX 75201-4612 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1992366488 | Anmd Health Pllc | Family Medicine | 1910 Pacific Ave Suite 15700, Dallas, TX 75201 | 2019-06-25 |
| 1972083772 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2380 N Field St, Dallas, TX 75201 | 2018-08-21 |
| 1861986986 | Stella O Adebusoye | Registered Nurse | 2121 Main St Ste 100, Dallas, TX 75201 | 2018-06-21 |
| 1215432026 | Shawana Harris | Counselor | 1910 Pacific Ave #7024, Dallas, TX 75201 | 2018-03-26 |
| 1285150821 | Lauren Elisabeth Kelling | Nurse Practitioner | 700 N. Pearl St. Suiten208, Dallas, TX 75201 | 2017-08-15 |
| 1962932319 | Jade On | Dentist | 2225 N Harwood St, Dallas, TX 75201 | 2017-06-19 |
| 1053857268 | Lj Dentistry, Pllc | Dentist | 2100 Ross Ave #960, Dallas, TX 75201 | 2017-01-11 |
| 1770946444 | Robin Margolin | Counselor | 1919 Mckinney Ave # 2063, Dallas, TX 75201 | 2016-03-31 |
| 1750767448 | Hcf Web Services | Respite Care | 2320 Taylor St, 2322, Dallas, TX 75201 | 2015-08-04 |
| Find all providers in zip 75201 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1912537184 | Nuch of Texas | Emergency Medicine | 14201 Dallas Pkwy Ste 150, Dallas, TX 75254-2916 | 2020-01-16 |
| 1740827906 | Ziad A. Abdo, Md, P.a. | Emergency Medicine | 14731 Stanford Ct, Dallas, TX 75254-8471 | 2019-12-06 |
| 1174189815 | Alexander Wisbeck | Emergency Medicine | Emergency Medicine Dept. Utsw Medical Center, Dallas, TX 75390-8579 | 2019-05-17 |
| 1245797760 | Exceptional Physicians Group Pllc | Emergency Medicine | 1100 S Akard St, Dallas, TX 75215-1003 | 2019-02-21 |
| 1265812960 | Richard Philip Williams | Emergency Medicine | 5253 Harry Hines Blvd, Dallas, TX 75390-4993 | 2015-06-08 |
| 1356736524 | Hp Health Center, Pllc | Emergency Medicine | 9203 Skillman St Ste 126, Dallas, TX 75243-9036 | 2015-04-03 |
| 1578952354 | Arvin Radfar Akhavan | Emergency Medicine | 5511 Inverrary Ct, Dallas, TX 75287-7416 | 2015-01-15 |
| 1235543430 | Kneel and Youngblood | Emergency Medicine | 300 Crescent Ct, #1380, Dallas, TX 75201-1876 | 2014-06-16 |
| 1154733004 | Blake Ashton Johnson | Emergency Medicine | 13737 Noel Rd Ste 1200, Dallas, TX 75240-1335 | 2014-05-27 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.