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

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: July 26, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Obstetrics & Gynecology
1918 RANDOLPH RD STE 670
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1918 RANDOLPH RD STE 670
CHARLOTTE, NC 28207
Nurse Practitioner
1918 RANDOLPH RD STE 670
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1918 RANDOLPH RD STE 670
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1918 RANDOLPH RD STE 670
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1918 RANDOLPH RD STE 670
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1918 RANDOLPH RD STE 670
CHARLOTTE, NC 28207

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 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.

Where is Bria Blake located?

Bria Blake practices at 1918 Randolph Rd Ste 670, Charlotte, NC 28207. The listed phone number is (704) 384-1620.

What is Bria Blake's specialty?

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

Is Bria Blake enrolled in Medicare?

Yes. Bria Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bria Blake accept?

Health plans from Blue Cross and Blue Shield of NC list Bria Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

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