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

Mr. Blake William Bartholomew

Individual provider Registered Dietitian · NPI 1821468893

Mr. Blake William Bartholomew is a Physician Assistant in Vero Beach, Florida. Qualified in 2022, 4 years ago. Practices with Indian River Health Services Inc, a 332-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1265 36th St
Vero Beach, FL 32960-6574
Phone: (772) 567-6340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAT9118141 (FL)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1821468893
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2015
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address835 23rd Ave, Vero Beach, FL 32960-3950

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Indian River Health Services Inc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Vero Beach