Individual
BEVAN D BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
344859-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34485924000001
BLUE CROSS BLUE SHIELD
UT
01
—
5417
DMBA
UT
01
—
64-00731
UNITED HEALTHCARE
UT
01
—
68963
PEHP
UT
01
—
870388269BR1
EDUCATORS MUTUAL
UT
01
—
CJ9402
RAILROAD MEDICARE
UT
Enumeration date
08/03/2005
Last updated
10/10/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up