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

Eddie Blay Jr., MD

Individual provider Surgery Physician · NPI 1174935217

Eddie Blay Jr., MD is a General Surgery in Fort Worth, Texas. Graduated from Duke University School of Medicine in 2014, 12 years ago. Practices with Mercy Health System Corporation, a 751-clinician group and accepts Medicare assignment. Licensed in Illinois, Missouri, Tennessee and Texas and 1 more.

Years since qualifying
12
Trained at
Duke University School of Medicine
Licensed in
IL, MO, TN, TX, WI
In the registry since
2014
Specialties on file
8
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

1325 Pennsylvania Ave Ste 690
Fort Worth, TX 76104-2133
Phone: (817) 761-7740
Fax: (817) 761-7742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence V8108 (TX)
Surgery Physician Taxonomy 208600000X · Licence 036170087 (IL)
Surgery Physician Taxonomy 208600000X · Licence 43923-20 (WI)
Surgery Physician Taxonomy 208600000X · Licence 67923 (TN)
Surgery Physician Taxonomy 208600000X · Licence V8108 (TX)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 036170087 (IL)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 43923-20 (WI)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 2024010643 (MO)

Record details

NPI number1174935217
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2014
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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