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BRIAN MATTHEW BLANK M.D.
NPI 1689069833
Family Medicine in Greenville, SC

Active since April 04, 2015Opted out of Medicare · through Apr 1, 2028
1068 N CHURCH ST STE 101, GREENVILLE, SC 29601(864) 702-2365(864) 474-4109 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2022, Jul 6, 2018 (2 updates tracked since 2018).

About Brian Matthew Blank M.d. NPPES

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

BRIAN MATTHEW BLANK M.D. (NPI 1689069833) is an individual family medicine provider in Greenville, South Carolina, licensed in South Carolina (MD52429) and active in the NPI registry since April 2015. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689069833
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRIAN MATTHEW BLANKCredential: M.D.
Location Address1068 N CHURCH ST STE 101Greenville, SC 29601-1769
Mailing Address1068 N Church St Ste 101Greenville, SC 29601-1769 · (864) 702-2365 · Fax (864) 474-4109
Phone(864) 702-2365
Fax(864) 474-4109
Sole ProprietorYes
Enumeration DateApril 4, 2015
Last NPPES UpdateFebruary 14, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
✔ NPI 1689069833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · MD52429
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1068 N CHURCH ST STE 101, Greenville, SC 29601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brian Matthew Blank M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29601 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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

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

EMBER MODERN MEDICINE
Family Medicine
1068 N CHURCH ST STE 101
GREENVILLE, SC 29601
Greenville County (864) 702-2365

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 Blank's NPI number?

The NPI number for Brian Blank is 1689069833. It was assigned to this individual provider in the NPPES registry on April 4, 2015.

Where is Brian Blank located?

Brian Blank practices at 1068 N Church St Ste 101, Greenville, SC 29601. The listed phone number is (864) 702-2365.

What is Brian Blank's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brian Blank enrolled in Medicare?

No. Brian Blank has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brian Blank was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.