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BLAKE BOSTICK
NPI 1053267062
Physician Assistant in Clinton, MS

Active since March 10, 2026
200 CAPITOL ST, CLINTON, MS 39056(601) 925-3000 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 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 Clinton, Mississippi and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1053267062
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE BOSTICK
Location Address200 CAPITOL STClinton, MS 39056-4026
Mailing Address200 Capitol StClinton, MS 39056-4026
Phone(601) 925-3000
Sole ProprietorNo
Enumeration DateMarch 10, 2026
NPPES CertifiedMarch 10, 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.
200 CAPITOL ST, Clinton, MS 39056
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Other Providers at the Same Location NPPES 11

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

KATHRYN REEVES
Physician Assistant
200 CAPITOL ST
CLINTON, MS 39056
Hinds County (601) 925-3000
CAITLIN E BROWN ATC
Specialist/Technologist (Athletic Trainer)
200 CAPITOL ST
CLINTON, MS 39056
Hinds County (601) 925-3000
JACOB HARDY LAT, ATC
Specialist/Technologist (Athletic Trainer)
200 CAPITOL ST
CLINTON, MS 39056
Hinds County (769) 798-7138
ALICIA THORNBURG MS, ATC
Specialist/Technologist (Athletic Trainer)
200 CAPITOL ST
CLINTON, MS 39056
Hinds County (601) 925-7361
MATTHEW VERRET MS, ATC
Specialist/Technologist (Athletic Trainer)
200 CAPITOL ST
CLINTON, MS 39056
Hinds County (601) 925-3345
MISSISSIPPI COLLEGE
Clinic/Center (Student Health)
200 CAPITOL ST
CLINTON, MS 39056
Hinds County (601) 925-3345
WILLIAM BRADLEY ADERHOLT LAT, ATC
Specialist/Technologist (Athletic Trainer)
200 CAPITOL ST
CLINTON, MS 39056
Hinds County (601) 925-3000
MADISON ELIZABETH SMITH
Physician Assistant
200 CAPITOL ST
CLINTON, MS 39056
Hinds County (601) 925-7371

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 200 Capitol St, Clinton, MS 39056. The listed phone number is (601) 925-3000.

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 March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.