IndividualActive
Charles Blakely, M.D.
NPI 1427119502 · Emergency Medicine Physician · Fort Defiance, AZ
Provider details
- NPI number
- 1427119502
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 22395 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
Fort Defiance Indian Hospital
Corner Route N7 and N12
Fort Defiance, AZ 86504
Phone: (928) 729-8600
Approximate (ZIP-level) locationGet directions
Mailing address
3437 Calle Suenos Se
Rio Rancho, NM 87124-6712
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.