Blake D. Graham, MD
Pediatrics Physician · Ft Carson, CO
Practice location
1650 Cochrane CirPediatrics
Ft Carson, CO 80913-4603
- Phone
- (719) 526-7653
NPI record
- NPI
- 1639130180
- Entity type
- Individual (Type 1)
- Enumeration date
- March 31, 2006
- Last updated
- February 4, 2022
- Certified
- February 4, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
DR.0054808 | CO |
| Pediatrics Physician | 208000000X |
274742-1205 | UT |
Mailing address
1650 Cochrane CirColorado Springs, CO 80913-4613
- Phone
- (719) 526-9085
About Dr. Graham
Blake D. Graham, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1650 Cochrane Cir, Pediatrics, Ft Carson, CO 80913-4603. The NPI number 1639130180 was assigned on March 31, 2006 and the record was last updated on February 4, 2022.
Dr. Graham lists 2 licenses in the registry: #DR.0054808 (CO) for Pediatrics Physician; #274742-1205 (UT) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Blake D. Graham, MD?
The NPI number is 1639130180.
What is the phone number of Dr. Graham?
The phone number listed for the practice location is (719) 526-7653.
Where is Dr. Graham located?
1650 Cochrane Cir, Pediatrics, Ft Carson, CO 80913-4603.
What is the taxonomy code for Dr. Graham?
The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatrics Physician providers in Ft Carson
- Teodora Thompson, M.D.1650 Cochrane Cir Unit Meddac
- Katherine Buechner1650 Cochrane Cir # B7500