Individual provider · Type 1 NPI

Cooper Blazek, MD

Family Medicine Physician · Huntersville, NC

NPI number 1659013340 Active

Practice location

16645 Birkdale Commons Pkwy # 100A
Huntersville, NC 28078-5669

Mailing address

5761 Cedermere Drive
Winston Salem, NC 27106

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X2025-01811 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1659013340

Cooper Blazek, MD's National Provider Identifier is 1659013340, issued on Apr 12, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Huntersville, NC. The record was last updated on Nov 21, 2025.