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BLAKE FAIRCHILD LOPEZ PA
NPI 1902519994
Physician Assistant in Birmingham, AL

Active since January 04, 2023PECOS Enrolled
1802 6TH AVE S, BIRMINGHAM, AL 35233(256) 328-9934 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2024, Jan 4, 2023 (2 updates tracked since 2023).

About Blake Fairchild Lopez Pa NPPES

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

BLAKE FAIRCHILD LOPEZ PA (NPI 1902519994) is an individual physician assistant in Birmingham, Alabama, licensed in Alabama (2093) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902519994
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE FAIRCHILD LOPEZCredential: PA
Location Address1802 6TH AVE SBirmingham, AL 35233-1932
Mailing Address4781 Longmeadow DrBessemer, AL 35022-7015 · (256) 328-9934
Phone(256) 328-9934
Sole ProprietorYes
Enumeration DateJanuary 4, 2023
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1902519994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AL · 2093
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1802 6TH AVE S, Birmingham, AL 35233
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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 Fairchild Lopez Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. ALBERT F. LOBUGLIO M.D.
Internal Medicine (Hematology & Oncology)
1802 6TH AVE S, NP 2556
BIRMINGHAM, AL 35233
Jefferson County (205) 934-5077
KATHRYN ELISE CHAPPELL MAHAFFEY PA-C
Physician Assistant
1802 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3411
HEATHER WELLER CRNP
Nurse Practitioner (Acute Care)
1802 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 420-9688
TYLER BISHOP
Registered Nurse
1802 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (256) 490-6381
AMY BRISTER
Nurse Anesthetist, Certified Registered
1802 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-4011
DR. ANDREW PAUL NOLEN CRNA
Nurse Anesthetist, Certified Registered
1802 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3411
COURTNEY ANN BAILEY RN
Registered Nurse
1802 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 996-4201
AUSTIN DAVIS RN
Registered Nurse
1802 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3411

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 Lopez's NPI number?

The NPI number for Blake Lopez is 1902519994. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Blake Lopez located?

Blake Lopez practices at 1802 6th Ave S, Birmingham, AL 35233. The listed phone number is (256) 328-9934.

What is Blake Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Blake Lopez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Blake Lopez was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.