Record summary
Brandon Scott Blacka appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with American Fork, Utah. The exclusion date shown in the source record is January 20, 2019. The exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.
Source record
What this exclusion type means
HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).
This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.
Location and provider classification
This LEIE record is associated with American Fork, UT 84003. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Therapist.
Other excluded providers in American Fork, UT
Other individuals and entities in the latest imported HHS-OIG LEIE file with a American Fork, UT address.
See all 10 excluded providers in American Fork →
How to verify this record
This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.
What this page does not include
This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.
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