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

Jonathan Taylor Blackmon, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679142335

Jonathan Taylor Blackmon, DO is a Student in an Organized Health Care Education/Training Program in Opelika, Alabama. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone: (334) 528-3035
Fax: (334) 528-1661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679142335
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 17, 2021
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021
Mailing address2000 Pepperell Pkwy, Opelika, AL 36801-5452

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