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

Blake Ron Busey, DO

Individual provider Family Medicine Physician · NPI 1639466873

Blake Ron Busey, DO is a Family Practice in Centralia, Washington. Qualified in 2011, 15 years ago. Practices with Lewis County Community Health Services, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
15
Licensed in
WA
In the registry since
2011
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.

See every abbreviation used in this directory →

Practice location Address checks out

1800 Cooks Hill Rd Ste F
Centralia, WA 98531-9162
Phone: (360) 669-0335
Fax: (360) 736-2967
Show map & directions

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

Additional practice locations (1)

  • 402 N Main Street, Pe Ell, WA 98572-9900 — (360) 291-3232

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP61205149 (WA)

Record details

NPI number1639466873
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 8, 2011
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023
Mailing address2690 Ne Kresky Ave, Chehalis, WA 98532-2412

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lewis County Community Health Services — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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