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

Blake Dixon, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033772199

Blake Dixon, DO is a Family Practice in Somerset, Kentucky. Graduated from University of Pikeville, Kentucky College of Osteopathic Med in 2019, 7 years ago. Practices with Champion Physical Therapy Kentucky, LLC, a 44-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Trained at
University of Pikeville, Kentucky College of Osteopathic Med
Licensed in
KY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

350 Hospital Way Ste 100
Somerset, KY 42503-1872
Phone: (606) 451-2600
Fax: (606) 451-2651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R5030 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033772199
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 15, 2019
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022
Mailing address111 Justice Way Apt 409, Pikeville, KY 41501-8314

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated 2019 (7 years in practice)
Group practice Champion Physical Therapy Kentucky, Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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