Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE BLOOMFIELD, PA-C
ActiveBLAKE BLOOMFIELD, PA-C is a Medical Physician Assistant healthcare provider located in CHARLOTTE, North Carolina. NPI 1063095743 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CHARLOTTE, NC
Registration Details
- NPI Number
- 1063095743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2021 (5.3086715191631 yrs)
- Last Updated
- Jun 13, 2025
Practice Information
- Address
-
1000 BLYTHE BLVDCHARLOTTE, NC, 282035812Browse NC providers · Browse ZIP 28203
- Phone
- 7044465185
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| MR. MATTHEW G BAKER | PA-C | 1356349914 |
| SARAH JANETTE CHAPMAN | P.A. | 1043207129 |
| MISS LISA C FLECK | PA-C | 1639166465 |
| COLLEEN MARIE HOLDEN | PAC | 1740278423 |
| MR. AARON T BLACKMER | P.A | 1255321972 |
| MR. JOEL WESLEY THOMPSON | PA-C | 1366429094 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.