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PHILMORE BLAKE
NPI 1316972458
Urology in Lake Jackson, TX

Active since July 11, 2006PECOS Enrolled
188 ABNER JACKSON PKWY, LAKE JACKSON, TX 77566(979) 297-9488(979) 297-9185 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Philmore Blake NPPES

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

PHILMORE BLAKE (NPI 1316972458) is an individual urology provider in Lake Jackson, Texas, licensed in Texas (K7246) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316972458
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePHILMORE BLAKE
Location Address188 ABNER JACKSON PKWYLake Jackson, TX 77566-5160
Mailing Address188 Abner Jackson PkwyLake Jackson, TX 77566-5160 · (979) 297-9488 · Fax (979) 297-9185
Phone(979) 297-9488
Fax(979) 297-9185
Sole ProprietorYes
Enumeration DateJuly 11, 2006
Last NPPES UpdateMarch 26, 2015
✔ NPI 1316972458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in TX · K7246
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
188 ABNER JACKSON PKWY, Lake Jackson, TX 77566
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Other Identifiers 3

Medicare ID-Type Unspecified00996GTX
Medicare UPING87558TX
Medicaid0315798-01TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philmore Blake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.03 typical visit price
range $57.16 – $172.89
Typical copayment $32.75 (range $14.29 – $43.22)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.45 – $141.27
Typical copayment $17.82 (range $4.61 – $35.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. FRANK EDOZE OKOSUN JR. M.D
Internal Medicine
188 ABNER JACKSON PKWY
LAKE JACKSON, TX 77566
Brazoria County (979) 266-9776
LAKE JACKSON UROLOGY PA
Urology
188 ABNER JACKSON PKWY
LAKE JACKSON, TX 77566
Brazoria County (979) 297-9488

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 Philmore Blake's NPI number?

The NPI number for Philmore Blake is 1316972458. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Philmore Blake located?

Philmore Blake practices at 188 Abner Jackson Pkwy, Lake Jackson, TX 77566. The listed phone number is (979) 297-9488.

What is Philmore Blake's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Philmore Blake enrolled in Medicare?

Yes. Philmore Blake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philmore Blake was last updated on March 26, 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.