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

Blake Thomas Davis, MD

Individual provider Surgery Physician · NPI 1275067589

Blake Thomas Davis, MD is a Surgery Physician in Camp Lejeune, North Carolina. Licensed in Florida and North Carolina. Registered with an NPI since 2017.

Licensed in
FL, NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (910) 450-4357
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2023-01787 (NC)
Surgery Physician Taxonomy 208600000X · Licence ME155570 (FL)

Record details

NPI number1275067589
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2017
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing addressUss Nimitz, Cvn68 Unit 100103, Fpo, AP 96620

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