Individual provider · Type 1 NPI

Travis Blackburn

Surgical Physician Assistant · Homewood, AL

NPI number 1396282026 Active

Practice location

3125 Independence Dr Ste 210
Homewood, AL 35209-4164

Call (205) 930-0920 Map

Fax (205) 445-0115

Mailing address

3485 Independence Dr
Homewood, AL 35209-5603

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1246 (AL)

Surgical Physician Assistant: Definition to come...

Another provider at this address

Other surgical physician assistant providers in Homewood

See all in Homewood →

About NPI 1396282026

Travis Blackburn's National Provider Identifier is 1396282026, issued on Jan 19, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Homewood, AL. The record was last updated on Mar 12, 2026.