Individual provider · Type 1 NPI
Blake Michael Bloxham, DO
General Practice Physician · Hicksville, NY
NPI number
1770909293
Active
Practice location
120 Bethpage Rd Ste 303
Hicksville, NY 11801-1515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 2020036119 (MO) |
| General Practice Physician Primary | 208D00000X | 281384 (NY) |
| General Practice Physician | 208D00000X | OS020407 (PA) |
| General Practice Physician | 208D00000X | 20A14881 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Hicksville
About NPI 1770909293
Blake Michael Bloxham, DO's National Provider Identifier is 1770909293, issued on Mar 7, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Hicksville, NY. The record was last updated on Oct 27, 2026.