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Jacques Blackman, MD
NPI 1023040334 · Family Medicine Physician · Wichita, KS
Jacques Blackman, MD is a Family Medicine Physician provider in Wichita, KS (NPI 1023040334).
Provider details
- NPI number
- 1023040334
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 17181 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13213 W 21st St N
Wichita, KS 67235-9625
Phone: (316) 945-0142
Fax: (316) 946-1760
Street-level locationGet directions
Mailing address
Po Box 8035
Wichita, KS 67208-0035
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2015-03-24
Frequently asked questions
- What is Jacques Blackman's NPI number?
- Jacques Blackman's National Provider Identifier (NPI) is 1023040334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacques Blackman's specialty?
- Jacques Blackman is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jacques Blackman located?
- Jacques Blackman's practice location on file with NPPES is 13213 W 21st St N, Wichita, KS 67235-9625.
- What is Jacques Blackman's phone number?
- The practice phone number listed in the NPPES registry for Jacques Blackman is (316) 945-0142.
- Is Jacques Blackman's NPI active?
- Yes — Jacques Blackman's NPI (1023040334) is active in the NPPES registry as of the last update on 2015-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.