Physician Assistant, Medical
RANDAL BLAKE PA-C, MPAS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1598479370 · enumerated 2023-01-06 · record updated 2025-12-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2817 ROCK MERRITT AVE, FORT BRAGG, NC, 28310-7324 (910) 907-8922 Fax (910) 907-6069 Google Maps Apple Maps OpenStreetMap
- Practice location 2817 ROCK MERRITT AVE, FORT BRAGG, NC, 28310-4504 (910) 907-8922 Fax (910) 907-6069 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 1598479370
- Physician Assistant, Medical 363AM0700X · Primary · License 1204584
In this directory
NC Cumberland County Fort Bragg Physician Assistant, Medical
Locations and evidence
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Practice location
FORT BRAGG, NC, 283104504
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.