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DR. BRIAN B BLACKBURN MD
NPI 1568405520
Internal Medicine in Mooresville, NC

Active since June 14, 2006PECOS Enrolled
146 MEDICAL PARK RD, STE 106, MOORESVILLE, NC 28117(704) 664-5131(704) 664-7547 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Brian B Blackburn Md NPPES

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

DR. BRIAN B BLACKBURN MD (NPI 1568405520) is an individual internal medicine provider in Mooresville, North Carolina, licensed in North Carolina (29531) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568405520
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRIAN B BLACKBURNCredential: MD
Location Address146 MEDICAL PARK RD, STE 106Mooresville, NC 28117-8528
Mailing Address146 Medical Park Rd, Ste 106Mooresville, NC 28117-8528 · (704) 664-5131 · Fax (704) 664-7547
Phone(704) 664-5131
Fax(704) 664-7547
Sole ProprietorYes
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 24, 2016
✔ NPI 1568405520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 29531
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
146 MEDICAL PARK RD, Mooresville, NC 28117
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Other Identifiers 3

Medicare PIN203926BNC
Medicaid7915979NC
Medicare UPINC82162NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian B Blackburn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

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

Hospital Physician Services - Southeast Professional Corporation
204 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, North Carolina enrollment
  • 511 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461
Inpatient Consultants Of Alabama, Inc
536 mi
Internal Medicine
5 MOBILE INFIRMARY CIR
Mobile, AL 36607
  • Reassigned Medicare billing, Alabama enrollment
  • 144 clinicians in this Medicare group
NPI 1235238916 (314) 317-0600
Hospital Medicine Associates LLC
686 mi
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Alabama enrollment
  • 229 clinicians in this Medicare group
NPI 1093758781 (225) 752-2470

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 28117 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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.

MR. OLIVER BARR
Preventive Medicine (Undersea and Hyperbaric Medicine)
146 MEDICAL PARK RD
MOORESVILLE, NC 28117
Iredell County (704) 471-4100
WALLACE CLEMENTS TARRY MD
Surgery (Vascular Surgery)
146 MEDICAL PARK RD, STE 206
MOORESVILLE, NC 28117
Iredell County (704) 799-3939
DANIEL SONNTAG CRNA
Nurse Anesthetist, Certified Registered
146 MEDICAL PARK RD, SUITE 108
MOORESVILLE, NC 28117
Iredell County (704) 662-0877
CAROLINAS PHYSICIANS NETWORK INC
Surgery (Vascular Surgery)
146 MEDICAL PARK RD, STE 206
MOORESVILLE, NC 28117
Iredell County (704) 799-3939
JEAN MARY CARPENTER NP
Nurse Practitioner
146 MEDICAL PARK RD, STE 206
MOORESVILLE, NC 28117
Iredell County (704) 799-3939
CAROLINA VASCULAR SPECIALISTS, PA
Surgery (Vascular Surgery)
146 MEDICAL PARK RD, SUITE 102
MOORESVILLE, NC 28117
Iredell County (704) 799-3939
LAKESHORE WOMEN'S SPECIALIST, PC
Obstetrics & Gynecology
146 MEDICAL PARK RD, SUITE 206
MOORESVILLE, NC 28117
Iredell County (704) 658-9211

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 Brian Blackburn's NPI number?

The NPI number for Brian Blackburn is 1568405520. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Brian Blackburn located?

Brian Blackburn practices at 146 Medical Park Rd Ste 106, Mooresville, NC 28117. The listed phone number is (704) 664-5131.

What is Brian Blackburn's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Blackburn enrolled in Medicare?

Yes. Brian Blackburn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brian Blackburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Blackburn reassigns Medicare benefits to 3 organizations: Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Inpatient Consultants Of Alabama, Inc (Mobile, AL) and Hospital Medicine Associates LLC (Baton Rouge, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Blackburn was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.