BRIANNA BLACKWELL
NPI 1851979132
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since March 30, 2021PECOS Enrolled
DETROIT MEDICAL CENTER- GME OFFICE, 4201 ST. ANTOINE, UHC 9C, DETROIT, MI 48201(313) 745-5146 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, Mar 30, 2021 (2 updates tracked since 2021).

About Brianna Blackwell NPPES

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

BRIANNA BLACKWELL (NPI 1851979132) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1851979132
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRIANNA BLACKWELL
Location AddressDETROIT MEDICAL CENTER- GME OFFICE, 4201 ST. ANTOINE, UHC 9CDetroit, MI 48201
Mailing AddressDetroit Medical Center- Gme Office, 4201 St. Antoine, Uhc 9cDetroit, MI 48201
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1851979132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
DETROIT MEDICAL CENTER- GME OFFICE, Detroit, MI 48201

Secondary Practice Location 1

Location 122201 Moross Rd Ste 50Detroit, MI 48236-2166 · Phone (313) 343-7774 · Fax (313) 343-8747

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brianna Blackwell 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.

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 Brianna Blackwell's NPI number?

The NPI number for Brianna Blackwell is 1851979132. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Brianna Blackwell located?

Brianna Blackwell practices at Detroit Medical Center- Gme Office 4201 St. Antoine, Uhc 9C, Detroit, MI 48201. The listed phone number is (313) 745-5146.

What is Brianna Blackwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brianna Blackwell enrolled in Medicare?

Yes. Brianna Blackwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brianna Blackwell was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.