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

BLAKE MICHAEL BLOXHAM DO
NPI 1770909293
General Practice in Hicksville, NY

Active since March 07, 2014
120 BETHPAGE RD STE 303, HICKSVILLE, NY 11801(714) 293-0013 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Blake Michael Bloxham Do NPPES

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

BLAKE MICHAEL BLOXHAM DO (NPI 1770909293) is an individual general practice provider in Hicksville, New York, licensed in New York (281384) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1770909293
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBLAKE MICHAEL BLOXHAMCredential: DO
Location Address120 BETHPAGE RD STE 303Hicksville, NY 11801-1515
Mailing Address120 Bethpage Rd Ste 303Hicksville, NY 11801-1515 · (714) 293-0013
Phone(714) 293-0013
Sole ProprietorNo
Enumeration DateMarch 7, 2014
Last NPPES UpdateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1770909293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in NY · 281384✔ Licensed in MO · 2020036119✔ Licensed in PA · OS020407✔ Licensed in CA · 20A14881
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
120 BETHPAGE RD STE 303, Hicksville, NY 11801
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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 Blake Bloxham's NPI number?

The NPI number for Blake Bloxham is 1770909293. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Where is Blake Bloxham located?

Blake Bloxham practices at 120 Bethpage Rd Ste 303, Hicksville, NY 11801. The listed phone number is (714) 293-0013.

What is Blake Bloxham's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Blake Bloxham was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.