MASON BLACKER MD
NPI 1336908821
Military Health Care Provider in Virginia Beach, VA

Q: What is Mason Blacker's NPI number?

The NPI number for Mason Blacker is 1336908821. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Mason Blacker's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Q: When was this NPI record last updated?

The NPPES record for Mason Blacker was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 18, 2024

1636 REGULUS AVE BLDG 313, VIRGINIA BEACH, VA 23461(217) 552-4570 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 4, 2026, Jan 28, 2026 (2 updates tracked since 2026).

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About Mason Blacker Md NPPES

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

MASON BLACKER MD (NPI 1336908821) is an individual military health care provider provider in Virginia Beach, Virginia and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1336908821

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameMASON BLACKERCredential: MD

Location Address1636 REGULUS AVE BLDG 313Virginia Beach, VA 23461-2200

Mailing Address1636 Regulus Ave Bldg 313Virginia Beach, VA 23461-2200

Phone(217) 552-4570

Sole ProprietorNo

Enumeration DateMarch 18, 2024

Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1336908821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101287001 (VA)

1636 REGULUS AVE BLDG 313, Virginia Beach, VA 23461

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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 Mason Blacker's NPI number?

The NPI number for Mason Blacker is 1336908821. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Mason Blacker located?

Mason Blacker practices at 1636 Regulus Ave Bldg 313, Virginia Beach, VA 23461. The listed phone number is (217) 552-4570.

What is Mason Blacker's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Mason Blacker was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.