DANIELLE ANN BLY BRACK M.D.
NPI 1730642802
Radiology - Diagnostic Radiology in Toledo, OH

Q: What is Danielle Bly Brack's NPI number?

The NPI number for Danielle Bly Brack is 1730642802. It was assigned to this individual provider in the NPPES registry on April 7, 2019. The provider is also known as Danielle Ann Bly MD.

Q: What is Danielle Bly Brack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since April 07, 2019PECOS EnrolledAccepts Medicare Assignment

5757 PARK CENTER CT., TOLEDO, OH 43615(419) 474-4064(419) 472-2772 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Jul 22, 2024, Mar 4, 2022 and 1 more (4 updates tracked since 2019).

On this page

About Danielle Ann Bly Brack M.d. NPPES

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

DANIELLE ANN BLY BRACK M.D. (NPI 1730642802) is an individual diagnostic radiology provider in Toledo, Ohio, licensed in Ohio (35.154043) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1730642802

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDANIELLE ANN BLY BRACKCredential: M.D.

Location Address5757 PARK CENTER CT.Toledo, OH 43615

Mailing Address5757 Park Center Ct.Toledo, OH 43615 · (419) 474-4064 · Fax (419) 472-2772

Phone(419) 474-4064

Fax(419) 472-2772

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2019

Enumeration DateApril 7, 2019

Last NPPES UpdateSeptember 26, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2025

✔ NPI 1730642802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in OH · 35.154043✔ Licensed in MI · 4301511363

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5757 PARK CENTER CT., Toledo, OH 43615

Open in Google Maps ↗

Other Names 1

Former Name (1)Danielle Ann Bly Md

Secondary Practice Location 1

Location 11500 E Medical Center Dr # B1D502Ann Arbor, MI 48109-5000 · Phone (734) 647-4144

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Danielle Ann Bly Brack M.d. 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 ID9931646726

PECOS Enrollment IDI20240729004077, I20250828000275

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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230005

Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County

Emergency services Birthing friendly

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230099

Location718 N Macomb StMonroe, MI 48162 · Monroe County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360156

Location715 South Taft AvenueFremont, OH 43420 · Sandusky County

Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360259

Location2801 Bay Park DriveOregon, OH 43616 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43615 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

LAEIA B JACKSON MD

Radiology (Radiological Physics)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

JACK F CONNER MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

MR. ROBIN B SHERMIS MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

MR. JONATHAN J. YOBBAGY MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT., SUITE 200
TOLEDO, OH 43615

Lucas County (419) 474-4064

MR. ROBERT S DISALLE MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

DR. EDWARD L SUTHERLAND MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

MR. ZACHARY S. ROST MD

Radiology (Vascular & Interventional Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

MICHAEL RIZK MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

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 Danielle Bly Brack's NPI number?

The NPI number for Danielle Bly Brack is 1730642802. It was assigned to this individual provider in the NPPES registry on April 7, 2019. The provider is also known as Danielle Ann Bly MD.

Where is Danielle Bly Brack located?

Danielle Bly Brack practices at 5757 Park Center Ct., Toledo, OH 43615. The listed phone number is (419) 474-4064.

What is Danielle Bly Brack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Danielle Bly Brack enrolled in Medicare?

Yes. Danielle Bly Brack 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 Danielle Bly Brack accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Danielle Bly Brack 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.

Is Danielle Bly Brack affiliated with any hospitals?

According to CMS data, Danielle Bly Brack is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Monroe Regional Hospital, Promedica Toledo Hospital, Memorial Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Bly Brack was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.