Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAKE THOR BENDIXEN MD
NPI 1659909018
Student in an Organized Health Care Education/Training Program in Royal Oak, MI

Active since March 31, 2020PECOS Enrolled
3711 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-2673 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2026, Jun 6, 2026, Apr 8, 2020 and 1 more (4 updates tracked since 2020).

About Blake Thor Bendixen Md NPPES

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

BLAKE THOR BENDIXEN MD (NPI 1659909018) is an individual student in an organized health care education/training program in Royal Oak, Michigan and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659909018
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE THOR BENDIXENCredential: MD
Location Address3711 W 13 MILE RDRoyal Oak, MI 48073-6767
Mailing Address3601 W 13 Mile RdRoyal Oak, MI 48073-6712 · (248) 898-2673
Sole ProprietorNo
Enumeration DateMarch 31, 2020
Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1659909018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3711 W 13 MILE RD, Royal Oak, MI 48073

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 Thor Bendixen 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 4

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

Surgery
3711 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Sleep Medicine)
3711 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Critical Care Medicine)
3711 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3711 W 13 MILE RD
ROYAL OAK, MI 48073

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 Blake Bendixen's NPI number?

The NPI number for Blake Bendixen is 1659909018. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Blake Bendixen located?

Blake Bendixen practices at 3711 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-2673.

What is Blake Bendixen's specialty?

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

Is Blake Bendixen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Blake Bendixen was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.