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

Jacques D Blackman, MD

Individual provider Family Medicine Physician · NPI 1023040334

Jacques D Blackman, MD is a Family Medicine Physician in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

13213 W 21st St N
Wichita, KS 67235-9625
Phone: (316) 945-0142
Fax: (316) 946-1760
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 17181 (KS)

Record details

NPI number1023040334
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESMarch 24, 2015

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