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

Bryan Blase, MD

Individual provider Internal Medicine Physician · NPI 1700204021

Bryan Blase, MD is an Internal Medicine in New York, New York. Graduated from Wayne State University School of Medicine in 2014, 12 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Louisiana and New York.

Years since qualifying
12
Trained at
Wayne State University School of Medicine
Licensed in
LA, NY
In the registry since
2014
Specialties on file
3
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

317 E 17th St Fl 7
New York, NY 10003-3804
Phone: (212) 420-4421
Fax: (212) 420-2224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6000 Charles Dr, West Bloomfield, MI 48322-4466 — (248) 895-2493

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 291664 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 291664 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 000000000000 (LA)

Record details

NPI number1700204021
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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