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

Blake Bloomfield, PA-C

Individual provider Behavior Technician · NPI 1063095743

Blake Bloomfield, PA-C is a Physician Assistant in Charlotte, North Carolina. Graduated from Wake Forest University School of Medicine in 2025, 1 year ago. Practices with Carolinas Medical Center, a 1,062-clinician group and accepts Medicare assignment.

Years since qualifying
1
Trained at
Wake Forest University School of Medicine
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 446-5185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1063095743
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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