Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Michael Gregory Blackburn, MD

Internal Medicine Physician in Puyallup, WA · enumerated 2006 · practices at Michael G. Blackburn, M.D. , Inc. P.S..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063429652

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Registry record

Entity type Individual (Type 1)

Name Michael Gregory Blackburn

Credential MD

Sex Male

Practice address 201 15th Ave Sw Ste C, Puyallup, WA, 98371

Phone (253) 841-4243

Fax (253) 864-9452

Enumeration date Aug 3, 2006

Last updated in NPPES Jul 18, 2019

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD00019306 (WA) Primary

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
1008895	Medicaid	WA	-
BL4674	Other	WA	REGENCE
110008458	Other	-	RAILROAD MEDICARE

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.

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Frequently asked questions

How do I verify Michael Blackburn's NPI record?

Cross-check NPI 1063429652 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1063429652 active?

Yes, as of the latest NPPES snapshot, NPI 1063429652 is active (record last updated 2019-07-18).

Other providers at this practice address

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Michael G. Blackburn, M.D. , Inc. P.S. Primary Care Clinic/Center · Puyallup, WA NPI 1285801480

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-18.