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BRANDON ROBERT BLALOCK
NPI 1093560104
Technician, Other in Overland Park, KS

Active since April 22, 2024
5799 BROADMOOR ST, OVERLAND PARK, KS 66202(660) 202-7899 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon Robert Blalock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON ROBERT BLALOCK (NPI 1093560104) is an individual technician, other provider in Overland Park, Kansas and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1093560104
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameBRANDON ROBERT BLALOCK
Location Address5799 BROADMOOR STOverland Park, KS 66202-2427
Mailing Address5799 Broadmoor StOverland Park, KS 66202-2427 · (660) 202-7899
Phone(660) 202-7899
Sole ProprietorYes
Enumeration DateApril 22, 2024
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1093560104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
5799 BROADMOOR ST, Overland Park, KS 66202
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL A SABOLOVIC M.S.P.T., M.T.C.
Physical Therapist
5799 BROADMOOR ST, SUITE 300
MISSION, KS 66202
Johnson County (913) 384-5600
HEALTH ADMINISOURCE, L.L.C.
Physical Therapist
5799 BROADMOOR ST, STE 300
MISSION, KS 66202
Johnson County (913) 384-5600
DARIN J MCGINTY DPT
Physical Therapist
5799 BROADMOOR ST, SUITE 300
MISSION, KS 66202
Johnson County (913) 384-5600
MELISSA L JENSEN P.T.A.
Physical Therapy Assistant
5799 BROADMOOR ST, SUITE 300
MISSION, KS 66202
Johnson County (913) 384-5600
KONA MALEE VANG HER PTA
Physical Therapy Assistant
5799 BROADMOOR ST, SUITE 300
MISSION, KS 66202
Johnson County (913) 384-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Blalock's NPI number?

The NPI number for Brandon Blalock is 1093560104. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Brandon Blalock located?

Brandon Blalock practices at 5799 Broadmoor St, Overland Park, KS 66202. The listed phone number is (660) 202-7899.

What is Brandon Blalock's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Brandon Blalock was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.