BRENT BLACKWELL – Physician Assistant, NPI 1194180331
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for BRENT BLACKWELL
2700 10TH AVE S
STE 200
BIRMINGHAM, AL 352051200
Phone: (205) 938-7838
Fax: (205) 683-2468
Type: Mailing
4333 BENT RIVER PKWY
HOOVER, AL 352165313
Phone: (205) 420-3565
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $5.
Total Amount is formed as General ($5) + Research ($0) + Ownership ($0) = $5.
Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Emmaus Medical, Inc. ($5).
Total Amount
$5
General + Research + Ownership
Payments
1
Total payment records
General Amount
$5
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Emmaus Medical, Inc. | $5 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160202001069 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 186 | 29 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 76 | 18 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 56 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 34 | $0 |
Insurance plans in this area (ZIP 35205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AL | 27447 | Repair of knee joint | 34 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | TX | |
| - | AL | |
| A N E S T H E S I O L O G Y | AL | |
| E N D O C R I N O L O G Y | VA | |
| Nurse Practitioner | AL | |
| - | AL | |
| Hospitalist, Internal Medicine | AL | |
| Clinical Psychologist | AL | |
| Nurse Practitioner | AL | |
| - | AL |
Reviews
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