Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Brannick

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1164873527

Blake Brannick is a Podiatry in Jackson, Michigan. Qualified in 2016, 10 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016

Practice location Address checks out

3333 Spring Arbor Rd Ste 200
Jackson, MI 49203-8622
Phone: (517) 205-2143
Fax: (517) 205-0143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5901002806 (MI)

Record details

NPI number1164873527
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 28, 2016
Last updated in NPPESAugust 20, 2019
Mailing address3333 Spring Arbor Rd Ste 200, Jackson, MI 49203-8622

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson