Blake Boudreaux, MD
NPI 1689203341 · Dermatology Physician · Ponte Vedra Beach, FL
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blake Boudreaux, MD is a Dermatology Physician provider in Ponte Vedra Beach, FL (NPI 1689203341).
Provider details
- NPI number
- 1689203341
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME173977 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 46 | 28 |
| Triamcinolone Acetonide | 35 | 26 |
| Betamethasone Dipropionate | 23 | 12 |
| Metronidazole | 22 | — |
| Tacrolimus | 18 | 11 |
| Hydrocortisone | 14 | — |
| Dupilumabbrand: Dupixent Syringe | 11 | — |
| Doxycycline Hyclate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-05
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Frequently asked questions
- What is Blake Boudreaux's NPI number?
- Blake Boudreaux's National Provider Identifier (NPI) is 1689203341, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Boudreaux's specialty?
- Blake Boudreaux is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Blake Boudreaux located?
- Blake Boudreaux's practice location on file with NPPES is 103 Solana Rd Ste B, Ponte Vedra Beach, FL 32082-2231.
- What is Blake Boudreaux's phone number?
- The practice phone number listed in the NPPES registry for Blake Boudreaux is (904) 273-2717.
- Does Blake Boudreaux accept Medicare?
- Blake Boudreaux is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blake Boudreaux's NPI active?
- Yes — Blake Boudreaux's NPI (1689203341) is active in the NPPES registry as of the last update on 2026-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.