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Export Provider Record NPI 1124037726
Anthony Paul BlalockM.D.
Active
NPI Number1124037726
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine, Nephrology
Provider Details
NPI1124037726
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-08-05
Last Updated2024-07-24
Mailing Address300 W Saint Mary Blvd
Lafayette, LA 70506-4638
United States
Phone: (337) 233-6593 | Fax: (337) 235-1032
📍 View Map
Primary Practice Address2804 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
United States
Phone: (337) 981-5156 | Fax: (337) 981-0673
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDLA1489131
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RN0300X – Internal Medicine, NephrologyLA024394
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About NPI 1124037726

Anthony Paul Blalock M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124037726. The primary specialty listed is Internal Medicine, Nephrology. The provider is located in Lafayette, LA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124037726?

NPI 1124037726 belongs to Anthony Paul Blalock M.D., a Internal Medicine, Nephrology in Lafayette, LA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124037726 active?

The current status of NPI 1124037726 in the NPPES registry is Active. The record was last updated on 2024-07-24.

What specialty is NPI 1124037726?

NPI 1124037726 is classified under the taxonomy Internal Medicine, Nephrology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124037726?

You can verify NPI 1124037726 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124037726?

The primary practice address on file for NPI 1124037726 is 2804 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124037726 issued?

NPI 1124037726 was first issued (enumerated) on 2006-08-05. The NPPES record was last updated on 2024-07-24.

Practice Location Map

Anthony Paul Blalock is located at 2804 Ambassador Caffery Pkwy, Lafayette, LA. Use the map below to find directions or verify the practice location.

📍 2804 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Anthony Paul Blalock. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124037726. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Nephrology024394LA
Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162