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

Jacob Nazareth Blackwell, MD

Individual provider Cardiovascular Disease Physician · NPI 1447782420

Jacob Nazareth Blackwell, MD is a Cardiovascular Disease (Cardiology) in Richmond, Virginia. Graduated from Wake Forest University School of Medicine in 2017, 9 years ago. Practices with Bon Secours St Marys Hospital of Richmond LLC, a 67-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina, Pennsylvania and Virginia.

Years since qualifying
9
Trained at
Wake Forest University School of Medicine
Licensed in
NC, PA, VA
In the registry since
2017
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

5801 Bremo Rd
Richmond, VA 23226-1907
Phone: (804) 285-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 200 Lothrop St, Pittsburgh, PA 15213-2536 — (412) 647-3429
  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 924-1931
  • 7001 Forest Ave Ste 200, Richmond, VA 23230-1726 — (804) 288-3123

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence MT227978 (PA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 0101286596 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2020-04293 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447782420
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Bon Secours St Marys Hospital Of Richmond Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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