Individual
BRAD A BLAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5327
(248) 338-5129
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5327
(248) 338-5129
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02006247A
IN
207P00000X
Emergency Medicine Physician
34.016136
OH
207P00000X
Emergency Medicine Physician
Primary
83418
SC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5101013885
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4504220
—
MI
Enumeration date
12/05/2005
Last updated
12/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us