Bluejack Surgical Affiliates
NPI 1043869100ActiveOrganization· Physician Assistant, Surgical· Richardson, TX
Physician Assistant, Surgical in Richardson, Texas, registered in NPPES in September 2019. The authorized official on file is Christopher John Brock, Managing Partner.
Overview
| NPI | 1043869100 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2019 |
| Last updated in NPPES | Sep 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 22 surgical physician assistants in Richardson · All surgical physician assistants in Texas