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

Blake Ian Evernden, MD

Individual provider Diagnostic Radiology Physician · NPI 1861488918

Blake Ian Evernden, MD is a Diagnostic Radiology Physician in Eden Prairie, Minnesota. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone: (952) 595-1301
Fax: (612) 294-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G59730 (CA)

Record details

NPI number1861488918
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349

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