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

Mason Blacker, MD

Individual provider General Practice Physician · NPI 1336908821

Mason Blacker, MD is a General Practice Physician in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024
Specialties on file
2
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

1636 Regulus Ave Bldg 313
Virginia Beach, VA 23461-2200
Phone: (217) 552-4570
Show map & directions

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

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X
General Practice Physician Taxonomy 208D00000X · Licence 0101287001 (VA)

Record details

NPI number1336908821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address1636 Regulus Ave Bldg 313, Virginia Beach, VA 23461-2200

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