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

Blake R Wilcock, PA-C

Individual provider Medical Physician Assistant · NPI 1457139594

Blake R Wilcock, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2024, 2 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3320 Wake Forest Rd Ste 2
Raleigh, NC 27609-7300
Phone: (919) 862-5100
Fax: (919) 862-5104
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1457139594
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2023
Last updated in NPPESAugust 9, 2026
Certification dateAugust 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Raleigh