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

Brittany Noel Blaise, MD

Individual provider Dermatology Physician · NPI 1659809945

Brittany Noel Blaise, MD is a Dermatology in Springfield, Illinois. Graduated from Southern Illinois University School of Medicine in 2017, 9 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

751 N Rutledge St Ste 2300
Springfield, IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-7438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036-156124 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 125070050 (IL)

Record details

NPI number1659809945
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2017
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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