Randal Blake, PA-C, MPAS
NPI 1598479370ActiveIndividual· Physician Assistant, Medical· Fort Bragg, NC
Physician Assistant, Medical (PA-C, MPAS) in Fort Bragg, North Carolina, with an NPI issued in January 2023.
Overview
| NPI | 1598479370 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C, MPAS |
| Sole proprietor | No |
| NPI issued | Jan 6, 2023 |
| Last updated in NPPES | Dec 2, 2025 |
| Certified by provider | Dec 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 1204584 | — |
| Physician Assistant | 363A00000X | 1598479370 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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