Blake Fenkell P.L.L.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BLAKE FENKELL P.L.L.C.

Practice address

32100 Telegraph Rd # Mi48025
Bingham Farms, MI 48025-2452

Phone

(248) 828-1100

Fax

(248) 817-2203

NPI assigned

Jul 5, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Blake R FenkellNPI 1033596069

Title

Owner/Doctor

Phone

(248) 828-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake Fenkell, D.O.

  • Orthopaedic Surgery Physician
  • Bingham Farms, MI
  • NPI 1033596069
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1154992832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD STE 111",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252452",
            "telephone_number": "248-803-0110",
            "fax_number": "248-817-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD # MI48025",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252452",
            "telephone_number": "248-828-1100",
            "fax_number": "248-817-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE FENKELL P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "FENKELL",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "248-828-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tremario Bivens
• Stephanie Starr Bjorkman
• Deshawndre Dean Black
• Tiara Black
• Patrick C Blackburn II
• Kassie Marie Blakley
• Johnathan Blankenship
• Joshua Ryan Blankenship
• Sharon Kay Blattert, NP
• Karen L Blechman Goss, OT

• Clinic/Center in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.