1. Home
  2. Directory
  3. Mississippi
  4. Clinton
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAKE BOSTICK
NPI 1053267062
Physician Assistant in Mansfield, TX

Active since March 10, 2026
2384 U.S. 287 FRONTAGE RD, MANSFIELD, TX 76063(682) 253-2130 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Mar 10, 2026 (2 updates tracked since 2026).

About Blake Bostick NPPES

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

BLAKE BOSTICK (NPI 1053267062) is an individual physician assistant in Mansfield, Texas and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1053267062
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE BOSTICK
Location Address2384 U.S. 287 FRONTAGE RDMansfield, TX 76063
Mailing Address2384 U.s. 287 Frontage RdMansfield, TX 76063
Phone(682) 253-2130
Sole ProprietorNo
Enumeration DateMarch 10, 2026
Last NPPES UpdateOctober 16, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1053267062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2384 U.S. 287 FRONTAGE RD, Mansfield, TX 76063
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

DR. MAURICE ISUO DC
Chiropractor
2384 U.S. 287 FRONTAGE RD, STE 216
MANSFIELD, TX 76063
Tarrant County (682) 400-8577
INNATE'S TOUCH CHIROPRACTIC
Chiropractor
2384 U.S. 287 FRONTAGE RD, STE 216
MANSFIELD, TX 76063
Tarrant County (682) 400-8577

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 Blake Bostick's NPI number?

The NPI number for Blake Bostick is 1053267062. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Blake Bostick located?

Blake Bostick practices at 2384 U.S. 287 Frontage Rd, Mansfield, TX 76063. The listed phone number is (682) 253-2130.

What is Blake Bostick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Blake Bostick was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.