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

Jeffrey M Blackmon, MD

Individual provider Family Medicine Physician · NPI 1710901996

Jeffrey M Blackmon, MD is a Family Practice in Bend, Oregon. Graduated from Medical College of Georgia School of Medicine in 2003, 23 years ago. Practices with Praxis Health PC, a 176-clinician group and accepts Medicare assignment. Licensed in Georgia and Oregon.

Years since qualifying
23
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA, OR
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

929 SW Simpson Ave Ste 300
Bend, OR 97702-3599
Phone: (541) 389-7741
Fax: (541) 278-8375
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 MD196707 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 55917 (GA)

Record details

NPI number1710901996
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing addressPo Box 1517, Pendleton, OR 97801-0410

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Praxis Health Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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