Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake A Bauer, MD

Individual provider Internal Medicine Physician · NPI 1558943456

Blake A Bauer, MD is an Internal Medicine Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 330911 (NY)

Record details

NPI number1558943456
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address3411 Wayne Ave, Bronx, NY 10467-2509

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