BLAKE BRANNICK – Foot & Ankle Surgery Podiatrist, NPI 1164873527

BLAKE BRANNICK is a healthcare provider. based in Jackson, Michigan. specializing in PODIATRY. They hold a License No. 5901002806 (MI). The NPI Number for BLAKE BRANNICK is 1164873527

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE BRANNICK
NPI
1164873527
Phone
(517) 205-2143
Address
3333 SPRING ARBOR RD STE 200
Enumeration Date
28 June 2016
Last Update Date
20 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172052775
Graduation Year
2016 (10 years ago)
PAC ID
6800139106
Group Practice PAC ID
0244136067
Professional Enrollment ID
I20190529001604
Address ID
MI492038602JA3333XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

753 PODIATRY in MI

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Provider Addresses for BLAKE BRANNICK

  • 200, Spring Arbor Road, Concord, Concord Township, Jackson County, Michigan, 49237, United States

    JACKSON, MI 492038622

    Phone: (517) 205-2143

    Fax: (517) 205-0143

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $2,063.

Total Amount is formed as General ($2,063) + Research ($0) + Ownership ($0) = $2,063.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Arthrex, Inc. ($1,077).

Total Amount

$2,063

General + Research + Ownership

Payments

27

Total payment records

General Amount

$2,063

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-05-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190529001604IPodiatryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes192162$0
99214Established patient office or other outpatient visit, 30-39 minutes11290$0
99203New patient office or other outpatient visit, 30-44 minutes101101$0
11721Removal of fingernails or toenails, 6 or more nails8770$0
99204New patient office or other outpatient visit, 45-59 minutes7070$0
View full utilization report →

Insurance plans in this area (ZIP 49203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244136067View full group profile

Reviews

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Frequently asked questions

Can I verify BLAKE BRANNICK with an NPI only?
You can start verification with NPI 1164873527 for BLAKE BRANNICK, then check state licensing separately.
Does the file indicate BLAKE BRANNICK is practicing under active NPI?
Directory data currently reports BLAKE BRANNICK as active.
What is BLAKE BRANNICK's primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for BLAKE BRANNICK here. Clinical services aligned with this taxonomy classification.
Where should I expect BLAKE BRANNICK on a map?
Expect Jackson, Michigan as a primary anchor for BLAKE BRANNICK unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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