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

Dr. Blake D Graham, MD

Individual provider Pediatrics Physician · NPI 1639130180

Dr. Blake D Graham, MD is a Pediatrics Physician in Ft Carson, Colorado. Licensed in Colorado and Utah. Registered with an NPI since 2006.

Licensed in
CO, UT
In the registry since
2006
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

1650 Cochrane Cir Pediatrics
Ft Carson, CO 80913-4603
Phone: (719) 526-7653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence DR.0054808 (CO)
Pediatrics Physician Taxonomy 208000000X · Licence 274742-1205 (UT)

Record details

NPI number1639130180
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022
Mailing address1650 Cochrane Cir, Colorado Springs, CO 80913-4613

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