JACQUES D BLACKMAN MD
NPI 1023040334
Family Medicine in Wichita, KS

Q: What is Jacques Blackman's NPI number?

The NPI number for Jacques Blackman is 1023040334. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Jacques Blackman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacques Blackman was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2006

13213 W 21ST ST N, WICHITA, KS 67235(316) 945-0142(316) 946-1760 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacques D Blackman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUES D BLACKMAN MD (NPI 1023040334) is an individual family medicine provider in Wichita, Kansas, licensed in Kansas (17181) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1023040334

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACQUES D BLACKMANCredential: MD

Location Address13213 W 21ST ST NWichita, KS 67235-9625

Mailing AddressPo Box 8035Wichita, KS 67208-0035 · (316) 689-9135 · Fax (316) 689-9102

Phone(316) 945-0142

Fax(316) 946-1760

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateMarch 24, 2015

✔ NPI 1023040334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 17181

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13213 W 21ST ST N, Wichita, KS 67235

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Other Identifiers 3

Medicare UPINB69279

Other021348Medicare

Medicaid100205200AKS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRAVIS D HUBIN DO

Family Medicine

13213 W 21ST ST N
WICHITA, KS 67235

Sedgwick County (316) 945-0142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacques Blackman's NPI number?

The NPI number for Jacques Blackman is 1023040334. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Jacques Blackman located?

Jacques Blackman practices at 13213 W 21st St N, Wichita, KS 67235. The listed phone number is (316) 945-0142.

What is Jacques Blackman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jacques Blackman was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.