Brandy Blackston, PA-C

Individual Active
NPI 1790158392
Medical Physician Assistant Berkley, MI

Brandy Blackston, PA-C holds NPI 1790158392, with a primary taxonomy of medical physician assistant and a practice location in Berkley, MI. The number was issued on November 4, 2015 and the NPPES record was last updated on July 22, 2022. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 5601007562 (MI)

Practice locations

27901 Woodward Ave Ste 300
Berkley, MI 48072-0921
Phone: (248) 545-0070
16800 W 12 Mile Rd Ste 102
Southfield, MI 48076-6335
Phone: (248) 569-9797

Local context

Active NPPES records list 458 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 177 of them within 10 miles.

The same primary taxonomy is listed by 1,190 in Michigan and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Brandy Blackston
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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