IndividualActive
Brandon Blalock
NPI 1093560104 · Other Technician · Overland Park, KS
Provider details
- NPI number
- 1093560104
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5799 Broadmoor St
Overland Park, KS 66202-2427
Phone: (660) 202-7899
Street-level locationGet directions
Mailing address
5799 Broadmoor St
Overland Park, KS 66202-2427
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.