MR. BRIAN G BLAKE APRN, FNP-BC, RN
NPI 1649876046
Nurse Practitioner - Family in Munster, IN

Active since December 10, 2020
8135 CALUMET AVE, MUNSTER, IN 46321(219) 513-2000 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2021, Dec 10, 2020 (2 updates tracked since 2020).

About Mr. Brian G Blake Aprn, Fnp-bc, Rn NPPES

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

MR. BRIAN G BLAKE APRN, FNP-BC, RN (NPI 1649876046) is an individual family provider in Munster, Indiana, licensed in Illinois (209.022503) and active in the NPI registry since December 2020. He maintains a secondary practice location in Oak Forest.

NPPES Registry Identity

NPI1649876046
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BRIAN G BLAKECredential: APRN, FNP-BC, RN
Location Address8135 CALUMET AVEMunster, IN 46321-1701
Mailing Address15604 Rob Roy DrOak Forest, IL 60452-2738 · (773) 771-8197
Sole ProprietorYes
Enumeration DateDecember 10, 2020
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
NPI 1649876046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.022503
8135 CALUMET AVE, Munster, IN 46321

Secondary Practice Location 1

Location 115604 Rob Roy DrOak Forest, IL 60452-2738 · Phone (773) 771-8197

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.

Nurse Practitioner (Family)
8135 CALUMET AVE
MUNSTER, IN 46321
Clinic/Center (Urgent Care)
8135 CALUMET AVE
MUNSTER, IN 46321
Nurse Practitioner (Family)
8135 CALUMET AVE
MUNSTER, IN 46321
Physician Assistant
8135 CALUMET AVE
MUNSTER, IN 46321
Nurse Practitioner (Family)
8135 CALUMET AVE
MUNSTER, IN 46321
Nurse Practitioner (Family)
8135 CALUMET AVE
MUNSTER, IN 46321
Nurse Practitioner (Family)
8135 CALUMET AVE
MUNSTER, IN 46321
Nurse Practitioner (Family)
8135 CALUMET AVE
MUNSTER, IN 46321

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 Brian Blake's NPI number?

The NPI number for Brian Blake is 1649876046. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Brian Blake located?

Brian Blake practices at 8135 Calumet Ave, Munster, IN 46321. The listed phone number is (219) 513-2000.

What is Brian Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Brian Blake was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.