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Brad Blaker is one of 22 emergency medicine physicians practicing in Granbury, Texas .
Brad Blaker practices with Lake Granbury Hospital-Based Professional Services.
Registry record (NPPES)
NPI
1790769545
Type
Type 1 · Individual
Primary taxonomy
Emergency Medicine · 207P00000X
Address on file
50 N Perry St Pontiac, MI 48342-2217 (248) 338-5327
Enumerated
Dec 5, 2005
Record last updated
Dec 8, 2025
License states listed
IN, MI, OH, SC
Medicare (CMS)
Enrollment
Medicare-enrolled in AL, FL, IN, MI, MO, OH, SC, TN, TXEmergency Medicine
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1310 Paluxy Rd
Granbury , TX 76048
(817) 573-2273
More emergency medicine physicians in Granbury
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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