BLAKE BLOOMFIELD PA-C
NPI 1063095743
Physician Assistant - Medical in Charlotte, NC
About Blake Bloomfield Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE BLOOMFIELD PA-C (NPI 1063095743) is an individual medical provider in Charlotte, North Carolina and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Wake Forest University School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Blake Bloomfield Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
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 Bloomfield's NPI number?
The NPI number for Blake Bloomfield is 1063095743. It was assigned to this individual provider in the NPPES registry on April 30, 2021.
Where is Blake Bloomfield located?
Blake Bloomfield practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 446-5185.
What is Blake Bloomfield's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Blake Bloomfield enrolled in Medicare?
Yes. Blake Bloomfield is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Blake Bloomfield accept?
Health plans from Oscar Health Plan of North Carolina, Inc list Blake Bloomfield as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Blake Bloomfield affiliated with any hospitals?
According to CMS data, Blake Bloomfield is affiliated with Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Blake Bloomfield was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Blake Bloomfield, PA-C · NPI 1063095743
Medical physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since April 30, 2021.
## Identity
- **NPI:** 1063095743 (Entity type: Individual)
- **Enumerated:** April 30, 2021
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 BLYTHE BLVD, Charlotte, NC 28203-5812
- **Phone:** (704) 446-5185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Wake Forest University School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** June 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063095743) · Data from the CMS NPPES public registry.