Brian David Blaker, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

38085 Issued in SC

Practice address

101 William H Johnson St Ste 600
Florence, SC 29506-2773

Phone

(843) 667-1891

Fax

(843) 665-2516

NPI assigned

Mar 24, 2012

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McLeod Regional Medical Center of the Pee Dee, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433

  SC

  Medicare reassignment Care Compare group NPD
• McLeod Health Cheraw

  • Certified Registered Nurse Anesthetist
  • Cheraw, SC
  • NPI 1275912974

  SC

  Medicare reassignment NPD
• McLeod Medical Center-Dillon

  • Hospitalist Physician
  • Dillon, SC
  • NPI 1720033988

  SC

  Medicare reassignment NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494

  SC

  Medicare reassignment NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  • Community/Retail Pharmacy
  • Florence, SC
  • NPI 1871775841
  Care Compare group NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  • Home Health Agency
  • Florence, SC
  • NPI 1215991682
  Care Compare group
• McLeod Regional Medical Center of the Pee Dee, Inc

  • Chronic Care Clinical Nurse Specialist
  • Florence, SC
  • NPI 1427004738
  Care Compare group
• McLeod Regional Medical Center of the Pee Dee, Inc

  • Home Infusion Therapy Pharmacy
  • Florence, SC
  • NPI 1821845512
  Care Compare group
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • Community Based Hospice Care Agency
  • Florence, SC
  • NPI 1043289333
  Care Compare group
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare group
• McLeod Health Cheraw

  • Rural Health Clinic/Center
  • Darlington, SC
  • NPI 1003410903
  NPD
• McLeod Medical Center-Dillon

  • Medicare Defined Swing Bed Hospital Unit
  • Dillon, SC
  • NPI 1124487541
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLeod Health Cheraw

  • General Acute Care Hospital
  • Cheraw, SC
  • NPI 1902283740

  Hospital

  Care Compare affiliation
• McLeod Health Clarendon

  • Rural Acute Care Hospital
  • Manning, SC
  • NPI 1205284411

  Hospital

  Care Compare affiliation
• McLeod Loris Seacoast Hospital

  • General Acute Care Hospital
  • Loris, SC
  • NPI 1306123344

  Hospital

  Care Compare affiliation
• McLeod Medical Center-Dillon

  • General Acute Care Hospital
  • Dillon, SC
  • NPI 1598746141

  Hospital

  Care Compare affiliation
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221

  Hospital

  Care Compare affiliation

Specialty

Cardiovascular Disease (Cardiology)

Education

Medical University of South Carolina College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLeod Regional Medical Center of the Pee Dee Inc 401 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
• McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005
• McLeod Health Cheraw Hospital, Cheraw, SC, CCN 420107
• McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
• McLeod Health Clarendon Hospital, Manning, SC, CCN 420109

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bblaker19055@directmcleodehealth.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2021.

{
    "created_epoch": "1332547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1134495138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H JOHNSON ST STE 600",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062773",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H JOHNSON ST STE 600",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062773",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKER",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-24",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "38085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380858",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.blaker@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "101 William H Johnson St Ste 600",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy Blackner
• Billy R Blackwell, M. D.
• Joyce Blackwell, OTR/L
• Christie Ellen Blair, RD, LD
• Alan M Blaker, M.D.
• Shirlene Blanton
• Melony M Blasius, OTR/L
• Keri Bledsoe, OTR/L
• Blessedtouch Theraputic Massage & Nutrition
• Blessings Beyond Blessings Homecare LLC

• All providers in Florence, SC
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.