BRAD A BLAKER DO
NPI 1790769545
Emergency Medicine in Pontiac, MI
About Brad A Blaker Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAD A BLAKER DO (NPI 1790769545) is an individual emergency medicine provider in Pontiac, Michigan, licensed in South Carolina (83418) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Lower Keys Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted 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
Brad A Blaker Do 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.
Medicare Billing Reassignments
18Medicare enrollment records show Brad Blaker reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Emergency Department Physicians PC
- 237 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Observation Emergency Physicians PC
- 158 clinicians in this Medicare group
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 444 clinicians in this Medicare group
Lansing, MI 48910
- Reassigned Medicare billing, Michigan enrollment
- 295 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Corydon, IN 47112
- Reassigned Medicare billing, Indiana enrollment
- 214 clinicians in this Medicare group
Maryville, TN 37804
- Reassigned Medicare billing, Tennessee enrollment
- 390 clinicians in this Medicare group
Poplar Bluff, MO 63901
- Reassigned Medicare billing, Missouri enrollment
- 102 clinicians in this Medicare group
Poplar Bluff, MO 63901
- Reassigned Medicare billing, Missouri enrollment
- 30 clinicians in this Medicare group
Hartsville, SC 29550
- Reassigned Medicare billing, South Carolina enrollment
- 160 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lower Keys Medical Center
Acute Care Hospitals · Key West, FLMclaren Bay Region
Acute Care Hospitals · Bay City, MIMclaren Greater Lansing
Acute Care Hospitals · Lansing, MIPoplar Bluff Regional Medical Center
Acute Care Hospitals · Poplar Bluff, MOLake Granbury Medical Center
Acute Care Hospitals · Granbury, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PONTIAC, MI 48342
PONTIAC, MI 48342
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 Brad Blaker's NPI number?
The NPI number for Brad Blaker is 1790769545. It was assigned to this individual provider in the NPPES registry on December 5, 2005.
Where is Brad Blaker located?
Brad Blaker practices at 50 N Perry St, Pontiac, MI 48342. The listed phone number is (248) 338-5327.
What is Brad Blaker's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Brad Blaker enrolled in Medicare?
Yes. Brad Blaker 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.
Which organizations bill Medicare for Brad Blaker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brad Blaker reassigns Medicare benefits to 18 organizations: Emergency Department Physicians, P.C. (Detroit, MI), Observation Emergency Physicians, P.C. (Detroit, MI), Mclaren Hospital Group (Flint, MI), Degara App, PLLC (Lansing, MI), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN) and 13 more organizations, listed in the Medicare section above. 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 Brad Blaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brad Blaker accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company and 1 other insurer list Brad Blaker 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 Brad Blaker affiliated with any hospitals?
According to CMS data, Brad Blaker is affiliated with Lower Keys Medical Center, Mclaren Bay Region, Mclaren Greater Lansing, Poplar Bluff Regional Medical Center and Lake Granbury Medical Center.
When was this NPI record last updated?
The NPPES record for Brad Blaker was last updated on December 8, 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.
# Brad A Blaker, DO · NPI 1790769545
Emergency Medicine physician in Pontiac, Michigan. Individual provider, active in the CMS NPPES registry since December 5, 2005.
## Identity
- **NPI:** 1790769545 (Entity type: Individual)
- **Enumerated:** December 5, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 83418 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 N PERRY ST, Pontiac, MI 48342-2217
- **Phone:** (248) 338-5327 · **Fax:** (248) 338-5129
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 18 organizations under Medicare reassignment (form CMS-855R): Emergency Department Physicians, P.C. (NPI 1225083595, Detroit, MI); Observation Emergency Physicians, P.C. (NPI 1497920524, Detroit, MI); Mclaren Hospital Group (NPI 1942026174, Flint, MI); Degara App, PLLC (NPI 1265976971, Lansing, MI); Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN); and 13 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 1998
## Record status
- **NPPES last updated:** December 8, 2025
- **Other identifiers:** Medicaid 4504220 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1790769545) · Data from the CMS NPPES public registry.