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

Dr. Spencer L. Blackman, MD

Individual provider Family Medicine Physician · NPI 1205914884

Dr. Spencer L. Blackman, MD is a Family Practice in Boston, Massachusetts. Graduated from University of Miami, Lm Miller School of Medicine in 2003, 23 years ago. Practices with One Medstar Primary Care LLC, a 140-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Georgia, Massachusetts and North Carolina and 2 more.

Years since qualifying
23
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
CA, GA, MA, NC, TX, VT
In the registry since
2006
Specialties on file
6
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

53 State St
Boston, MA 02109-2820
Phone: (617) 903-5000
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 790 College Parkway, Colchester, VT 05446 — (802) 847-1170

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 254843 (MA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 84995 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2020-04415 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence V4643 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence A88542 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 042.0013274 (VT)

Record details

NPI number1205914884
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 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 2003 (23 years in practice)
Group practice One Medstar Primary Care Llc — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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