Physician Assistant, Medical
Mrs. BRANDY BLACKSTON PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1790158392 · enumerated 2015-11-04 · record updated 2022-07-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI, 48033-3849 (947) 522-1865 Fax (947) 522-0307 Google Maps Apple Maps OpenStreetMap
- Practice location 27901 WOODWARD AVE STE 300, BERKLEY, MI, 48072-0921 (248) 545-0070 Fax (248) 545-4850 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License 5601007562 MI
In this directory
Locations and evidence
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Practice location
BERKLEY, MI, 480720921
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.