OrganizationActive
Blake D. Alexander, MD, PA
NPI 1366626483 · Dermatology Physician · Pocatello, ID
Blake D. Alexander, MD, PA is a Dermatology Physician organization in Pocatello, ID (NPI 1366626483).
Provider details
- NPI number
- 1366626483
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Blake Alexander, President(208) 236-1600
- License
- M8227 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
500 S 11th Ave
Suite 203
Pocatello, ID 83201-4835
Phone: (208) 236-1600
Fax: (208) 236-6695
Street-level locationGet directions
Mailing address
Po Box 4908
Pocatello, ID 83205-4908
Registry dates
- Enumerated
- 2007-12-26
- Last updated
- 2007-12-26
Frequently asked questions
- What is Blake D. Alexander, MD, PA's NPI number?
- Blake D. Alexander, MD, PA's National Provider Identifier (NPI) is 1366626483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blake D. Alexander, MD, PA?
- Blake D. Alexander, MD, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Blake D. Alexander, MD, PA located?
- Blake D. Alexander, MD, PA's practice location on file with NPPES is 500 S 11th Ave, Pocatello, ID 83201-4835.
- What is Blake D. Alexander, MD, PA's phone number?
- The practice phone number listed in the NPPES registry for Blake D. Alexander, MD, PA is (208) 236-1600.
- Who is the authorized official for Blake D. Alexander, MD, PA?
- The authorized official listed on Blake D. Alexander, MD, PA's NPPES record is Blake Alexander, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blake D. Alexander, MD, PA's NPI active?
- Yes — Blake D. Alexander, MD, PA's NPI (1366626483) is active in the NPPES registry as of the last update on 2007-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.