DR. BRIA NIKOLE WILLIAMS BLAKE MD
NPI 1255990719
Obstetrics & Gynecology in Charlotte, NC

Q: What is Bria Blake's NPI number?

The NPI number for Bria Blake is 1255990719. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Q: What is Bria Blake's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Bria Blake was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment

1918 RANDOLPH RD STE 670, CHARLOTTE, NC 28207(704) 384-1620(704) 384-1626 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2023, Apr 10, 2023, Jun 10, 2019 (3 updates tracked since 2019).

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About Dr. Bria Nikole Williams Blake Md NPPES

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

DR. BRIA NIKOLE WILLIAMS BLAKE MD (NPI 1255990719) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (2023-01746) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255990719

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. BRIA NIKOLE WILLIAMS BLAKECredential: MD

Location Address1918 RANDOLPH RD STE 670Charlotte, NC 28207-1119

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 384-1620

Fax(704) 384-1626

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 10, 2019

Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration

NPPES CertifiedAugust 31, 2023

✔ NPI 1255990719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NC · 2023-01746✔ Licensed in SC · LL82792

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1918 RANDOLPH RD STE 670, Charlotte, NC 28207

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Secondary Practice Locations 2

Location 1135 Cannon St Fl 2Charleston, SC 29425-8909 · Phone (843) 792-5300

Location 2171 Ashley AveCharleston, SC 29425-8908 · Phone (843) 792-1414

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bria Nikole Williams Blake Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789914847

PECOS Enrollment IDI20230803001951

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Bria Blake reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC

Same address

Pediatric Gastroenterology

1918 RANDOLPH RD STE 210
Charlotte, NC 28207

Reassigned Medicare billing, North Carolina enrollment
Also billed through NPI 1477092179 (North Carolina)
2,998 clinicians in this Medicare group

NPI 1003966185 (704) 316-5060

The Presbyterian Hospital

Same address

Internal Medicine

1918 RANDOLPH RD STE 350
Charlotte, NC 28207

Reassigned Medicare billing, North Carolina enrollment
926 clinicians in this Medicare group

NPI 1093438244 (704) 384-4000

Nmg Health Services, LLC

0.1 mi

Maternal & Fetal Medicine

1718 E 4TH ST STE 404
Charlotte, NC 28204

Reassigned Medicare billing, North Carolina enrollment
76 clinicians in this Medicare group

NPI 1104513605 (704) 384-5701

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. REBECCA GARLAND AUSTIN ALMQUIST MD

Obstetrics & Gynecology