BLAKE BANNER
NPI 1821465592
Student in an Organized Health Care Education/Training Program in Elgin, SC

Q: What is Blake Banner's NPI number?

The NPI number for Blake Banner is 1821465592. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Q: What is Blake Banner'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 Banner was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 28, 2015

971A ROBERTS DR, ELGIN, SC 29045(803) 543-2185 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blake Banner NPPES

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

BLAKE BANNER (NPI 1821465592) is an individual student in an organized health care education/training program in Elgin, South Carolina and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1821465592

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBLAKE BANNER

Location Address971A ROBERTS DRElgin, SC 29045-9087

Mailing Address971a Roberts DrElgin, SC 29045-9087 · (803) 543-2185

Phone(803) 543-2185

Sole ProprietorYes

Enumeration DateAugust 28, 2015

✔ NPI 1821465592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

971A ROBERTS DR, Elgin, SC 29045

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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 Banner's NPI number?

The NPI number for Blake Banner is 1821465592. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Blake Banner located?

Blake Banner practices at 971A Roberts Dr, Elgin, SC 29045. The listed phone number is (803) 543-2185.

What is Blake Banner's specialty?

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

When was this NPI record last updated?

The NPPES record for Blake Banner was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.