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

Blake Fairchild Lopez, PA

Individual provider Physician Assistant · NPI 1902519994

Blake Fairchild Lopez, PA is a Physician Assistant in Birmingham, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1802 6th Ave S
Birmingham, AL 35233-1932
Phone: (256) 328-9934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2093 (AL)

Record details

NPI number1902519994
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 4, 2023
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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