Dr. Roger Alan Blake, M.D.
Dr. Roger Alan Blake is a Surgical Critical Care Physician provider (Surgery) practicing in Cleveland, MS, registered in the NPPES registry with NPI 1023049335 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1023049335 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Roger Alan Blake |
| Credential | M.D. |
| Sex | Male |
| Practice address | Cleveland, MS, 38732 |
| Phone | 6628468880 |
| Fax | 6628468886 |
| Enumeration date | 2006-07-05 |
| Last updated in NPPES | 2024-03-04 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Secondary | 16881 | MS |
| 2086S0102X | Surgical Critical Care Physician | Primary | MC-2670 | ID |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122620 | Medicaid | MS | — |
| 7887026 | Other | — | AETNA |
Copy-ready billing details
Provider: Roger Blake, M.D. NPI: 1023049335 Taxonomy: 2086S0102X (Surgical Critical Care Physician) Address: Cleveland, MS, 38732
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457357543 | Bolivar Ent, Inc | Organization | Otolaryngology Physician | Cleveland, MS |
| 1073501458 | Peter Mcarthur | Individual | Otolaryngology Physician | Cleveland, MS |
| 1184684375 | Wayne Dotson | Individual | Specialist | Cleveland, MS |
| 1407887391 | Derek Miles | Individual | Urology Physician | Cleveland, MS |
| 1336220276 | Scott Nelson | Individual | Family Medicine Physician | Cleveland, MS |
| 1063596757 | Nelson Medical Consulting, Inc. | Organization | Family Medicine Physician | Cleveland, MS |
| 1255475836 | Michael Braswell | Individual | Specialist | Cleveland, MS |
| 1588785794 | Bolivar Urology Clinic, PA | Organization | Urology Physician | Cleveland, MS |
Verify this record
Cross-check NPI 1023049335 against the authoritative CMS record: view Dr. Roger Alan Blake on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-03-04.