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

Dr. Blake Brickey Jacks, MD

Individual provider Diagnostic Radiology Physician · NPI 1255726956

Dr. Blake Brickey Jacks, MD is an Interventional Radiology in Little Rock, Arkansas. Qualified in 2015, 11 years ago. Practices with Central Arkansas Radiation Therapy Institute Inc, a 90-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas and Florida.

Years since qualifying
11
Licensed in
AR, FL
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8901 Carti Way
Little Rock, AR 72205-6523
Phone: (501) 906-3000
Fax: (501) 907-6522
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

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence E-12730 (AR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence E-12730 (AR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME142675 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255726956
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Central Arkansas Radiation Therapy Institute Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Little Rock