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BENJAMIN P BLAKEMAN AGACNP
NPI 1063247948
Nurse Practitioner - Acute Care in Charlotte, NC

Active since September 03, 2024
3621 RANDOLPH RD STE 100, CHARLOTTE, NC 28211(704) 512-3303 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin P Blakeman Agacnp NPPES

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

BENJAMIN P BLAKEMAN AGACNP (NPI 1063247948) is an individual acute care provider in Charlotte, North Carolina, licensed in South Carolina (29069) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1063247948
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBENJAMIN P BLAKEMANCredential: AGACNP
Location Address3621 RANDOLPH RD STE 100Charlotte, NC 28211-0027
Mailing Address813 Savile LnFort Mill, SC 29715-7800 · (704) 564-5161
Phone(704) 512-3303
Sole ProprietorNo
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1063247948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in SC · 29069
3621 RANDOLPH RD STE 100, Charlotte, NC 28211
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Other Names 1

Other Name (5)Ben Blakeman

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 Benjamin Blakeman's NPI number?

The NPI number for Benjamin Blakeman is 1063247948. It was assigned to this individual provider in the NPPES registry on September 3, 2024. The provider is also known as Ben Blakeman.

Where is Benjamin Blakeman located?

Benjamin Blakeman practices at 3621 Randolph Rd Ste 100, Charlotte, NC 28211. The listed phone number is (704) 512-3303.

What is Benjamin Blakeman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Benjamin Blakeman was last updated on September 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.