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

Edward Spencer Blake

Individual provider Neurology Physician · NPI 1780204875

Edward Spencer Blake is a Neurology in Madison, Wisconsin. Qualified in 2020, 6 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Wisconsin.

Years since qualifying
6
Licensed in
OR, WI
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-5442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-7772

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 76695-20 (WI)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 76695-20 (WI)
Neurology Physician Taxonomy 2084N0400X · Licence MD219524 (OR)

Record details

NPI number1780204875
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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