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

Dr. Blair Funk, MD

Individual provider Family Medicine Physician · NPI 1326493289

Dr. Blair Funk, MD is a Family Practice in Peoria, Arizona. Graduated from University of Miami, Lm Miller School of Medicine in 2016, 10 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Georgia, North Carolina and Washington.

Years since qualifying
10
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
AZ, GA, NC, WA
In the registry since
2016
Specialties on file
4
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

21731 N 77th Ave Ste 1300
Peoria, AZ 85382-2109
Phone: (002) 338-3264
Fax: (623) 561-3305
Show map & directions

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

Additional practice locations (2)

  • 1300 N 12th St Ste 404, Phoenix, AZ 85006-2866 — (800) 233-3264
  • 1525 Buford Hwy, Buford, GA 30518-3665 — (770) 945-1699

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61422193 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2024-01311 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 58464 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 81892 (GA)

Record details

NPI number1326493289
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2016
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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