Individual
JERRY BLACKLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G9066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8EA863
BLUE CROSS BLUE SHIELD
TX
01
—
8GD848
BCBS
TX
01
—
8R9781
BLUE CROSS BLUE SHIELD
TX
01
—
P00216844
RAILROAD MEDICARE
TX
01
—
P01331480
RR MEDICARE
TX
Enumeration date
07/12/2006
Last updated
01/24/2017
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