NPIMap

Individual provider Active NPI

Brandon Selby Blanken, DPM

  • Podiatrist
  • Silver Spring, MD
National Provider Identifier
1134758907
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01755 Issued in MD
Practice address
10313 Georgia Ave Ste 201
Silver Spring, MD 20902-5006
Phone
(301) 592-0505
Fax
(301) 592-0506
NPI assigned
Apr 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01755 MD Primary

Addresses

Primary practice location

10313 Georgia Ave Ste 201
Silver Spring, MD 20902-5006

Mailing address

10313 Georgia Ave Ste 201
Silver Spring, MD 20902-5006
Phone (301) 592-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231018002833 DC Practitioner - Podiatry 6608221106 Reassigns benefits to 3 organizations
I20260106000683 MD Practitioner - Podiatry 6608221106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blanken Foot and Ankle LLCGroup PAC ID 7416305982, 3 clinicians

Practice addresses (Care Compare)

10313 Georgia Ave
Suite 201
Silver Spring, MD 20902-5006
Phone 30159205051

12414 Naves Cross Rd NE
Cumberland, MD 21502-8212
Phone (240) 808-8482

900 23Rd St NW
Washington, DC 20037-2342
Phone (301) 498-0383

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of nail tissue80
Removal or shaving of skin growth40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01755MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine CurrentSince Jan 1, 2026 Accepting new patients
Blanken Foot and Ankle LLC Podiatrist CurrentSince Sep 25, 2023 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Jan 1, 2026 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Jan 1, 2026 Accepting new patients
Blanken Foot and Ankle LLC Current Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

12414 Naves Cross Rd NE
Cumberland, MD 21502
Phone (240) 808-8482

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

10313 Georgia Ave
Ste 201
Wheaton, MD 20902
Phone (202) 964-1160

Organizations & group practices 7

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

Hospital & facility affiliations 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1134758907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE STE 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-592-0505",
            "fax_number": "301-592-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE STE 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-592-0505",
            "fax_number": "301-592-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKEN",
        "first_name": "BRANDON",
        "middle_name": "SELBY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.