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

Mr. Blake William Badillo

Individual provider Family Nurse Practitioner · NPI 1538052246

Mr. Blake William Badillo is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2025, 1 year ago. Practices with The Center for Pain of Montgomery LLC, a 51-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
1
Licensed in
AL
In the registry since
2025
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Practice location Address checks out

488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone: (334) 288-7808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3320 Skyway Dr Ste 701, Opelika, AL 36801-7139 — (334) 288-7808
  • 507 Privet Ct, Prattville, AL 36066-0011 — (618) 979-2776
  • 660 McQueen Smith Rd N Ste E, Prattville, AL 36066-7559 — (334) 288-7808

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3-002374 (AL)

Record details

NPI number1538052246
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address201 Defense Hwy Ste 205, Annapolis, MD 21401-7096

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice The Center For Pain Of Montgomery Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Montgomery