- Practice location
- 929 SW Simpson Ave Ste 300, Bend, OR 97702-3599
- Phone
- 541-389-7741
- Fax
- 541-278-8375
- Last updated
- March 24, 2023
Jeffrey M Blackmon is a Family Medicine based in Bend, OR. Jeffrey M Blackmon practices in Bend, OR and has the professional credentials of MD. The NPI Number for Jeffrey M Blackmon is 1710901996 and holds a License No. 55917 (GA). The current practice location address for Jeffrey M Blackmon is 929 SW Simpson Ave Ste 300, Bend, OR 97702-3599 and can be reached out via phone at 541-389-7741 and via fax at 541-278-8375.
Provider Profile Details
- NPI Number
- 1710901996
- Provider Name
- Jeffrey M Blackmon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 929 SW Simpson Ave Ste 300, Bend, OR 97702-3599
- Phone Number
- 541-389-7741
- Fax Number
- 541-278-8375
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 27, 2006
- Last Update Date
- March 24, 2023
- Certification Date
- March 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 929 SW Simpson Ave Ste 300
Bend, OR 97702-3599 - City
- Bend
- State
- Oregon
- Zip
- 97702-3599
- Phone Number
- 541-389-7741
- Fax Number
- 541-278-8375
Provider Business Mailing Address Details
- Address
- Po Box 1517
Pendleton, OR 97801-0410 - City
- Pendleton
- State
- OR
- Zip
- 97801-0410
- Phone Number
- 877-708-1119
- Fax Number
- 541-278-8349
License Information
- License Number (1)
- 55917
- License State (1)
- GA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- MD196707
- License State (2)
- OR
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeffrey M Blackmon, MD?
The NPI number of Jeffrey M Blackmon, MD is 1710901996. It was assigned on July 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Jeffrey M Blackmon, MD?
Jeffrey M Blackmon, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in GA under license number 55917.
Where does Jeffrey M Blackmon, MD practice?
The practice location is 929 SW Simpson Ave Ste 300, Bend, OR 97702-3599. The office can be reached at 541-389-7741 (phone) or 541-278-8375 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710901996 directly on the NPPES registry website.