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

Brandy A Blackmon

Individual provider Case Manager/Care Coordinator · NPI 1639905508

Brandy A Blackmon is a Case Manager/Care Coordinator in Cleveland, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1147 E 112th St
Cleveland, OH 44108-3733
Phone: (216) 600-6889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1639905508
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address1147 E 112th St, Cleveland, OH 44108-3733

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