BLAKE DEPAUL MD
NPI 1609564160
Student in an Organized Health Care Education/Training Program in St Petersburg, FL

Q: What is Blake Depaul's NPI number?

The NPI number for Blake Depaul is 1609564160. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Blake Depaul's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Depaul was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 24, 2023PECOS Enrolled

700 6TH ST S, ST PETERSBURG, FL 33701(727) 893-6116(727) 553-7340 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blake Depaul Md NPPES

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

BLAKE DEPAUL MD (NPI 1609564160) is an individual student in an organized health care education/training program in St Petersburg, Florida and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609564160

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBLAKE DEPAULCredential: MD

Location Address700 6TH ST SSt Petersburg, FL 33701-4815

Mailing Address700 6th St SSt Petersburg, FL 33701-4815

Phone(727) 893-6116

Fax(727) 553-7340

Sole ProprietorNo

Enumeration DateApril 24, 2023

NPPES CertifiedApril 24, 2023

✔ NPI 1609564160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

700 6TH ST S, St Petersburg, FL 33701

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Depaul Md 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.

Other Providers at the Same Location NPPES 20

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

DR. DAVID D. DESPER JR. M.D.

Obstetrics & Gynecology