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

Dr. Amanda Laine Brazis, DPM

Individual provider Podiatrist · NPI 1528354602

Dr. Amanda Laine Brazis, DPM is a Podiatry in Herrin, Illinois. Qualified in 2011, 15 years ago. Practices with Southern Orthopedic Associates SC, a 27-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

510 Lincoln Dr
Herrin, IL 62948-6334
Phone: (618) 997-3100
Fax: (618) 997-3616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016.005557 (IL)
Podiatrist Taxonomy 213E00000X · Licence 016.005557 (IL)

Record details

NPI number1528354602
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 27, 2011
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Southern Orthopedic Associates Sc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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