IndividualActive
Blake Marvin, M.D.
NPI 1568783777 · Family Medicine Physician · Goose Creek, SC
Provider details
- NPI number
- 1568783777
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- P1103 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Naval Health Clinic Charleston
110 Nnptc Circle
Goose Creek, SC 29445
Phone: (843) 794-6000
Approximate (ZIP-level) locationGet directions
Mailing address
2005 Knight Lane, Building H, Attn: Medical Staff Servi
Jacksonville, FL 32212
Registry dates
- Enumerated
- 2010-06-22
- Last updated
- 2024-09-09
- Certified
- 2024-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.