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NPI Code Detail

MEDICARE: ALEXANDER DRAKE BLEVENS M.D.

MEDICARE: ALEXANDER DRAKE BLEVENS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician14536MS
2207XS0106XOrthopaedic Hand Surgery Physician14536MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508890765
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER DRAKE BLEVENS M.D.
Provider Business Mailing Address
First Line : 3635 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-5711
Country : US
Telephone Number : 228-875-1849
Fax Number : 228-875-6257
Provider Business Practice Location Address
First Line : 3635 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-5711
Country : US
Telephone Number : 228-875-1849
Fax Number : 228-875-6257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 09/11/2025

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