What is Blake Martin's NPI number?

Blake Martin's National Provider Identifier (NPI) is 1124971064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Blake Martin's specialty?

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

Where is Blake Martin located?

Blake Martin's practice location on file with NPPES is 16915 Nw 83rd Ct, Miami Lakes, FL 33016-6192.

What is Blake Martin's phone number?

The practice phone number listed in the NPPES registry for Blake Martin is (786) 973-0502.

Is Blake Martin's NPI active?

Yes — Blake Martin's NPI (1124971064) is active in the NPPES registry as of the last update on 2026-02-19.

IndividualActive

Blake Martin, PA-C

NPI 1124971064 · Physician Assistant · Miami Lakes, FL

Blake Martin, PA-C is a Physician Assistant provider in Miami Lakes, FL (NPI 1124971064).

Provider details

NPI number: 1124971064
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
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

16915 Nw 83rd Ct

Miami Lakes, FL 33016-6192

Phone: (786) 973-0502

Street-level locationGet directions

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Mailing address