What is Blake Bostick's NPI number?

Blake Bostick's National Provider Identifier (NPI) is 1053267062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Blake Bostick's specialty?

Blake Bostick is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Blake Bostick located?

Blake Bostick's practice location on file with NPPES is 200 Capitol St, Clinton, MS 39056-4026.

What is Blake Bostick's phone number?

The practice phone number listed in the NPPES registry for Blake Bostick is (601) 925-3000.

Is Blake Bostick's NPI active?

Yes — Blake Bostick's NPI (1053267062) is active in the NPPES registry as of the last update on 2026-03-10.

IndividualActive

Blake Bostick

NPI 1053267062 · Physician Assistant · Clinton, MS

Blake Bostick is a Physician Assistant provider in Clinton, MS (NPI 1053267062).

Provider details

NPI number: 1053267062
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% 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

200 Capitol St

Clinton, MS 39056-4026

Phone: (601) 925-3000

Street-level locationGet directions

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Mailing address